The "TEVAR-first" approach to DeBakey I aortic dissection with mesenteric malperfusion.
Acute DeBakey type 1 aortic dissection presenting with mesenteric malperfusion is a lethal variant of all dissection-related malperfusion syndromes with reported mortality rates of 38% to 75%. Conventional surgical treatment involves proximal aortic replacement to restore true lumen perfusion, followed by mesenteric revascularization if malperfusion persists. In an attempt to improve the dismal outcomes associated with this malperfusion syndrome, we have instituted a [thoracic endovascular aortic repair] "TEVAR-First" approach in hemodynamically stable patients, which allows for earlier true lumen expansion and resolution of the malperfusion syndrome.
Division of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, Georgia. Electronic address: bleshno@emory.edu.
Bradley G
BG
Leshnower
Division of Vascular Surgery and Endovascular Therapy, Emory University School of Medicine, Atlanta, Georgia.
Ravi K
RK
Veeraswamy
Division of Vascular Surgery and Endovascular Therapy, Emory University School of Medicine, Atlanta, Georgia.
Yazan M
YM
Duwayri
Division of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, Georgia.
Edward P
EP
Chen
D000784:Aortic Dissection / Q000145:classification / Q000503:physiopathology* / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000145:classification / Q000503:physiopathology* / Q000601:surgery*; D057510:Endovascular Procedures / Q000379:methods*; D005260:Female; D006801:Humans; D008875:Middle Aged; D013152:Splanchnic Circulation; D019616:Thoracic Surgical Procedures
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