Mesenteric Malperfusion: The Insidious, Dreadful Enemy

Akiko Tanaka1, Anthony L Estrera1

  • 1Department of Cardiothoracic and Vascular Surgery, McGovern Medical School at The University of Texas Health Science Center at Houston and Memorial Hermann Hospital, Houston, Texas.

Insights

Mesenteric malperfusion, a complication of aortic dissection, can be treated with a fenestration-first approach. This strategy may improve outcomes for patients with acute type A dissection and mesenteric ischemia.

Area of Science:

  • Cardiovascular Surgery
  • Vascular Surgery
  • Aortic Dissection

Background:

  • Mesenteric malperfusion significantly worsens prognosis in patients with aortic dissection.
  • Stent grafting is a common treatment for acute type B dissection with malperfusion.
  • Standard central repair for acute type A dissection does not always resolve ongoing mesenteric ischemia.

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