Stroke in Acute Type A Aortic Dissection: The Nordic Consortium for Acute Type A Aortic Dissection
Chemtob et al. present data from the Nordic Consortium for Acute Type A Aortic Dissection (NORCAAD). They database out of eight hospitals the recorded data of 1,128 patients. This analysis focused on perioperative stroke, which occurred in 15.7% of all patients and was higher in patients with preoperative cerebral malperfusion, impaired hemodynamics, and in patients who underwent arch replacement. However, as many patients with prior cerebral malperfusion did not develop stroke, this should never be judged as contra-indication for surgery.
Avery useful read, a high-risk TAAD group, where two fifths of sufferers that presented with an ongoing acute neurological problem, retained the problem after salvage surgery.