Malperfusion syndromes in aortic dissections

Todd C. Crawford, Robert J. Beaulieu, Bryan A. Ehlert, Elizabeth V. Ratchford, James H. Black

Research output: Contribution to journalReview articlepeer-review

Abstract

Aortic dissection remains a challenging clinical scenario, especially when complicated by peripheral malperfusion. Improvements in medical imaging have furthered understanding of the pathophysiology of malperfusion events in association with aortic dissection, including the elucidation of different mechanisms of branch vessel obstruction. Despite these advances, malperfusion syndrome remains a deadly entity with significant mortality. This review presents the latest knowledge regarding the pathogenesis of aortic dissection complicated by malperfusion syndrome, and discusses the diagnostic and therapeutic guidelines for management of this vicious entity.

Original languageEnglish (US)
Pages (from-to)264-273
Number of pages10
JournalVascular Medicine (United Kingdom)
Volume21
Issue number3
DOIs
StatePublished - Jun 2016

Keywords

  • aortic diseases
  • minimally invasive
  • practice guidelines
  • stents
  • surgical procedures

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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