Optimal management of acute type A aortic dissection with mesenteric malperfusion

The authors deal with a dramatic complication of acute Type A aortic
dissection – mesenteric malperfusion. They reviewed 309 papers on acute
aortic dissection and concluded that initial interventional management of
mesenteric malperfusion followed by delayed proximal aortic repair is a
reasonable strategy, since the prognosis of those immediately operated on
the ascending aorta was extremely poor.