Acute Complex Type A Dissection associated with peripheral malperfusion syndrome treated with a staged approach guided by lactate levels

Title: Acute Complex Type A Dissection associated with peripheral malperfusion syndrome treated with a staged approach guided by lactate levels
Authors: Suliman, A
Dialynas, M
Ashrafian, H
Bicknell, C
Mireskandari, M
Hamady, M
Athanasiou, T
Item Type: Journal Article
Abstract: Acute type A aortic dissection can be complicated by visceral malperfusion and is associated with a significant surgical morbidity and mortality. We describe a case of successful management of a complex acute type A dissection with mesenteric and lower limb ischemia treated with endovascular thoracic stenting and femoro-femoral crossover bypass grafting followed by aortic arch repair. To accomplish this, we applied a staged therapeutic approach using serial lactate measurements to assess the adequacy of peripheral perfusion and metabolic status prior to surgical repair of the proximal dissection.
Issue Date: 28-Jan-2010
Date of Acceptance: 28-Jan-2010
URI: http://hdl.handle.net/10044/1/40314
DOI: http://dx.doi.org/10.1186/1749-8090-5-4
ISSN: 1749-8090
Publisher: BioMed Central
Journal / Book Title: Journal of Cardiothoracic Surgery
Volume: 5
Copyright Statement: © Suliman et al. 2010. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Keywords: Science & Technology
Life Sciences & Biomedicine
Cardiac & Cardiovascular Systems
Cardiovascular System & Cardiology
CARDIAC & CARDIOVASCULAR SYSTEMS
AORTIC DISSECTION
VASCULAR COMPLICATIONS
INTESTINAL ISCHEMIA
SURGICAL DELAY
MANAGEMENT
Aneurysm, Dissecting
Aortic Aneurysm, Thoracic
Biomarkers
Clinical Protocols
Femoral Artery
Humans
Ischemia
Lactic Acid
Leg
Male
Middle Aged
Stents
Syndrome
Treatment Outcome
Biological Markers
Respiratory System
1103 Clinical Sciences
Publication Status: Published
Article Number: 4
Appears in Collections:Division of Surgery
Faculty of Medicine



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