SynthesisJournal of cardiothoracic surgery2022
Surgical treatment of type A acute aortic dissection with cerebral malperfusion: a systematic review.
Synthesis in Journal of cardiothoracic surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.
- Two surgical strategies (early carotid reperfusion vs. Central aortic repair-first) of acute type a aortic dissection complicated with cerebral malperfusion syndrome: a meta-analysis and systematic review.BMC cardiovascular disorders · 2024Pooled it
- Article
- Comparison of Extended Arch Versus Hemiarch Replacement in Elderly Patients With Type A Aortic Dissection: The Shizuoka Kokuho Database.Interdisciplinary cardiovascular and thoracic surgery · 2026Article
- Predictive factors of early mortality in patients with type A aortic dissection: association between pulmonary artery adventitial hematoma and type A aortic dissection.European radiology · 2025Article
- Acute type A aortic dissection with cerebral malperfusion: diagnosis and repair using a novel technique.The British journal of cardiology · 2025Article
- Article
- The Ascyrus Medical Dissection Stent: A One-Fits-All Strategy for the Treatment of Acute Type A Aortic Dissection?Journal of clinical medicine · 2024Review
- Navigating the Unexpected: Iatrogenic Aortic Injuries during Transcatheter Aortic Valve Replacement (TAVR).Journal of clinical medicine · 2023Review
- Histopathological Gap in Aortic Diseases: A Prospective Analysis.International journal of molecular sciences · 2023Article
- Preoperative Imaging Signs of Cerebral Malperfusion in Acute Type A Aortic Dissection: Influence on Outcomes and Prognostic Implications-A 20-Year Experience.Journal of clinical medicine · 2023Article
- Article
- Cerebral Infarction as the Primary Presentation of Acute Aortic Dissection.Reviews in cardiovascular medicine · 2023Article
- Case report: Surgery combined with extracorporeal membrane oxygenation for a patient with type A aortic dissection complicated with myocardial infarction after percutaneous coronary intervention.Frontiers in cardiovascular medicine · 2023Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesType A acute aortic dissection (TAAAD) complicated with cerebral malperfusion (CM) is a life-threatening condition associated with high mortality, poor outcomes, and the optimal surgical management remains controversial. The aim of this review was to report the current results of surgical interventions of these patients.
methodsA systematic review was performed using PubMed and MEDLINE search for cases underwent surgical repair for TAAAD with CM. Demographics, neurological symptom, the time from onset of symptoms to operation, operation data, mortality, neurological outcome, and follow-up were reviewed.
resultsA total of 363 patients with mean age of 65.7 ± 13 years underwent surgical repair for TAAAD with CM were identified in 12 retrospective studies. In-hospital mortality was 20.1%. Mean duration of follow-up was 40.1 ± 37.6 months. The involved supra-aortic branch vessels were RCCA (n = 99), LCCA (n = 25), B-CCA (n = 52), CCA (n = 131), IA (n = 19), and LSA (n = 8). Time from onset of neurological symptoms to surgery was 13.3 h. Antegrade and/or retrograde cerebral perfusion were applied. Postoperatively, improved, unchanged and worsened neurological status was occurred in 54.3%, 27.1%, and 8.5%, respectively in 199 patients.
conclusionThe outcomes of surgical treatment of TAAAD complicated with CM indicate acceptable early mortality and morbidity. It is reasonable to perform lifesaving surgery on these patients. Early central surgical repair and reperfusion of brain may improve the outcomes.
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