Cerebral malperfusion in acute type A aortic dissection: should surgery proceed?

Authors

  • Tiago R. Velho Cardiothoracic Surgery Department - Hospital de Santa Maria - Centro Hospitalar Lisboa Norte, Portugal https://orcid.org/0000-0002-0455-8189
  • Rafael Maniés Pereira Cardiothoracic Surgery Department - Hospital de Santa Maria - Centro Hospitalar Lisboa Norte, Portugal
  • Ângelo Nobre Cardiothoracic Surgery Department - Hospital de Santa Maria - Centro Hospitalar Lisboa Norte, Portugal

DOI:

https://doi.org/10.48729/pjctvs.278

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References

P. Angleitner et al., “Type A Acute Aortic Dissection Presenting With Cerebrovascular Accident at Advanced Age,” Seminars in Thoracic and Cardiovascular Surgery, 2021, doi: 10.1053/j.semtcvs.2021.06.008.

I. Sultan et al., “Surgery for type A aortic dissection in patients with cerebral malperfusion: Results from the International Registry of Acute Aortic Dissection,” Journal of Thoracic and Cardiovascular Surgery, vol. 161, no. 5, pp. 1713-1720.e1, May 2021, doi: 10.1016/j. jtcvs.2019.11.003.

I. Zindovic et al., “Malperfusion in acute type A aortic dissection: An update from the Nordic Consortium for Acute Type A Aortic Dissection,” Journal of Thoracic and Cardiovascular Surgery, vol. 157, no. 4, pp. 1324- 1333.e6, Apr. 2019, doi: 10.1016/j.jtcvs.2018.10.134.

J. B. Goldberg, S. L. Lansman, M. Kai, G. H. L. Tang, R. Malekan, and D. Spielvogel, “Malperfusion in Type A Dissection: Consider Reperfusion First,” Seminars in Thoracic and Cardiovascular Surgery, vol. 29, no. 2, pp. 181–185, Feb. 2017, doi: 10.1053/j.semtcvs.2016.10.017.

L. O. Conzelmann et al., “Analysis of risk factors for neurological dysfunction in patients with acute aortic dissection type A: Data from the German registry for acute aortic dissection type A (GERAADA),” European Journal of Cardio-thoracic Surgery, vol. 42, no. 3, pp. 557–565, Sep. 2012, doi: 10.1093/ejcts/ezs025.

M. Onoc et al., “The effect of pulsatile perfusion on cerebral blood flow during profound hypothermia with total circulatory arrest,” Journal of Thoracic and Cardiovascular Surgery, vol. 108, no. 1, pp. 119–125, 1994, doi: 10.1016/s0022-5223(94)70227-6.

E. B. Marsh, R. H. Llinas, A. E. Hillis, and R. F. Gottesman, “Hemorrhagic transformation in patients with acute ischaemic stroke and an indication for anticoagulation,” European Journal of Neurology, vol. 20, no. 6, pp. 962–967, Jun. 2013, doi: 10.1111/ene.12126.

M. di Eusanio et al., “Patients with type A acute aortic dissection presenting with major brain injury: Should we operate on them?,” in Journal of Thoracic and Cardiovascular Surgery, 2013, vol. 145, no. 3 SUPPL. doi: 10.1016/j.jtcvs.2012.11.054.

A. L. Estrera et al., “Acute type A aortic dissection complicated by stroke: Can immediate repair be performed safely?,” Journal of Thoracic and Cardiovascular Surgery, vol. 132, no. 6, pp. 1404–1408, Dec. 2006, doi: 10.1016/j.jtcvs.2006.07.026.

N. Morimoto, K. Okada, and Y. Okita, “Lack of neu- rologic improvement after aortic repair for acute type A aortic dissection complicated by cerebral malperfusion: Predictors and association with survival,” Journal of Thoracic and Cardiovascular Surgery, vol. 142, no. 6, pp. 1540–1544, Dec. 2011, doi: 10.1016/j. jtcvs.2011.05.004.

S. Fukuhara et al., “Type A Aortic Dissection With Cerebral Malperfusion: New Insights,” in Annals of Thoracic Surgery, Aug. 2021, vol. 112, no. 2, pp. 501–509. doi: 10.1016/j.athoracsur.2020.08.046.

T. Gomibuchi et al., “Strategies to improve outcomes for acute type A aortic dissection with cerebral malperfusion,” European Journal of Cardio-thoracic Surgery, vol. 59, no. 3, pp. 666–673, Mar. 2021, doi: 10.1093/ ejcts/ezaa376.

G. W. Albers et al., “Thrombectomy for Stroke at 6 to 16 Hours with Selection by Perfusion Imaging,” New England Journal of Medicine, vol. 378, no. 8, pp. 708– 718, Feb. 2018, doi: 10.1056/nejmoa1713973.

R. G. Nogueira et al., “Thrombectomy 6 to 24 Hours after Stroke with a Mismatch between Deficit and Infarct,” New England Journal of Medicine, vol. 378, no. 1, pp. 11–21, Jan. 2018, doi: 10.1056/nejmoa1706442.

J. I. Fann et al., “Surgical management of acute aortic dissection complicated by stroke.,” Circulation, vol. 80, no. 3 Pt 1, pp. I257-63, Sep. 1989.

E. Bossone et al., “Stroke and outcomes in patients with acute type a aortic dissection,” Circulation, vol. 128, no. SUPPL.1, Sep. 2013, doi: 10.1161/CIRCULATIONAHA.112.000327.

T. Tsukube et al., “Surgery for Aortic Disease Neurological Outcomes After Immediate Aortic Repair for Acute Type A Aortic Dissection Complicated by Coma,” 2011, doi: 10.1161/CIRCULATIONAHA.110.011551/-/DC1.

T. Tsukube et al., “Long-term outcomes after immediate aortic repair for acute type A aortic dissection complicated by coma,” in Journal of Thoracic and Cardiovascular Surgery, 2014, vol. 148, no. 3, pp. 1013–1019. doi: 10.1016/j.jtcvs.2014.06.053.

C. J. Estol and M. S. Pessin, “Anticoagulation: is there still a role in atherothrombotic stroke?,” Stroke, vol. 21, no. 5, pp. 820–824, May 1990, doi: 10.1161/01. STR.21.5.820.

P. Angleitner, M. E. Stelzmueller, S. Mahr, A. Kaider, G. Laufer, and M. Ehrlich, “Bilateral or unilateral antegrade cerebral perfusion during surgery for acute type A dissection,” Journal of Thoracic and Cardiovascular Sur- gery, vol. 159, no. 6, pp. 2159-2167.e2, Jun. 2020, doi: 10.1016/j.jtcvs.2019.06.057.

A. Piperata et al., “Unilateral versus bilateral cerebral perfusion during aortic surgery for acute type A aortic dissection: a multicentre study,” European Journal of Cardio-Thoracic Surgery, vol. 61, no. 4, pp. 828–835, Mar. 2022, doi: 10.1093/ejcts/ezab341.

E. L. Norton, X. Wu, K. M. Kim, H. J. Patel, G. M. Deeb, and B. Yang, “Unilateral is comparable to bilateral antegrade cerebral perfusion in acute type A aortic dis- section repair,” Journal of Thoracic and Cardiovascular Surgery, vol. 160, no. 3, pp. 617-625.e5, Sep. 2020, doi: 10.1016/j.jtcvs.2019.07.108.

K. Orihashi, “Cerebral malperfusion in acute aortic dissection,” Surgery Today, vol. 46, no. 12, pp. 1353–1361, Dec. 2016, doi: 10.1007/s00595-016-1381-x.

A. Hussain, M. Uzzaman, S. Mohamed, F. Khan, S. Butt, and H. Khan, “Femoral versus axillary cannulation in acute type A aortic dissections: A meta-analysis,” Jour- nal of Cardiac Surgery, vol. 36, no. 10, pp. 3761–3769, Oct. 2021, doi: 10.1111/jocs.15810.

O. Gokalp et al., “Comparison of femoral and axillary artery cannulation in acute type a aortic dissection surgery,” Brazilian Journal of Cardiovascular Surgery, vol. 35, no. 1, pp. 28–33, Jan. 2020, doi: 10.21470/1678- 9741-2018-0354.

G. Tong, D. L. Zhuang, Z. C. Sun, Z. R. Chen, R. X. Fan, and T. C. Sun, “Femoral artery cannulation as a safe alternative for aortic dissection arch repair in the era of axillary artery cannulation,” Journal of Thoracic Disease, vol. 13, no. 2, pp. 671–680, Feb. 2021, doi: 10.21037/ JTD-20-2113.

A. Lemaire, J. Chao, L. Salgueiro, H. Ikegami, and L. Y. Lee, “Femoral arterial cannulation remains a safe and reliable option for aortic dissection repair,” Journal of Thoracic Disease, vol. 13, no. 2, pp. 1005–1010, Feb. 2021, doi: 10.21037/JTD-20-2549.

N. Saran and A. Pochettino, “Cannulation strategies & circulation management in type-A aortic dissection,” Journal of Cardiac Surgery, vol. 36, no. 5, pp. 1793–1798, May 2021, doi: 10.1111/jocs.15456.

S. K. Choudhary and P. R. Reddy, “Cannulation strategies in aortic surgery: techniques and decision making,” Indian Journal of Thoracic and Cardiovascular Surgery, vol. 38, no. S1, pp. 132–145, Apr. 2022, doi: 10.1007/ s12055-021-01191-4.

V. Patris, L. Toufektzian, M. Field, and M. Argiriou, “Is axillary superior to femoral artery cannulation for acute type A aortic dissection surgery?: Table 1:,” Interactive CardioVascular and Thoracic Surgery, vol. 21, no. 4, pp. 515–520, Oct. 2015, doi: 10.1093/icvts/ivv181.

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Published

03-07-2022

How to Cite

1.
R. Velho T, Maniés Pereira R, Nobre Ângelo. Cerebral malperfusion in acute type A aortic dissection: should surgery proceed?. Rev Port Cir Cardiotorac Vasc [Internet]. 2022 Jul. 3 [cited 2024 Nov. 21];29(2):51-6. Available from: https://pjctvs.com/index.php/journal/article/view/278

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Review Article