@article{ACS16641,
author = {Elizabeth L. Norton and David M. Williams and Karen M. Kim and Xiaoting Wu and Minhaj S. Khaja and Himanshu J. Patel and G. Michael Deeb and Bo Yang},
title = {Management of malperfusion syndrome in acute type A aortic intramural hematoma},
journal = {Annals of Cardiothoracic Surgery},
volume = {8},
number = {5},
year = {2019},
keywords = {},
abstract = {Background: We report the outcomes of acute type A aortic intramural hematoma (ATAAIMH) with malperfusion treated with endovascular intervention and delayed open aortic repair.
Methods: Between April 1998 and April 2018, 644 patients were treated at our institution with an acute type A aortic dissection (ATAAD) or ATAAIMH, 82 (13%) had intramural hematomas (IMHs) including 12 (15%) with malperfusion syndrome (MPS) and 70 (85%) without MPS (no MPS). Data was obtained through medical record review, the Society of Thoracic Surgeons data elements, and the National Death Index database.
Results: Both MPS and No MPS groups had similar comorbidities including coronary artery disease, hypertension, diabetes, and peripheral vascular disease; however, those with MPS were sicker on admission with higher rates of acute renal failure (50% vs. 1%, P},
issn = {2304-1021}, url = {https://www.annalscts.com/article/view/16641}
}