Dr. A. Mohammed Idhrees MCh, FAIS, Cardio Thoracic and Vascular Surgeon, Institute for Cardiac and Aortic Disorders, SRM Institute for Medical Sciences (SIMS Hospitals), Chennai, India. E mail: a.m.idhrees@gmail.com
Malperfusion in Acute Type A aortic dissection (ATAAD) has a direct cataclysmic effect on morbidity and mortality, despite the advancements in diagnosis, techniques, and technology. Malperfusion syndrome is a complication caused by branch-vessel involvement and resulting in endorgan ischemia dysfunction with an incidence ranging from 16% to 34% [1, 2]. The complete obstruction of the vessel will present with full-blown symptoms, but it is also important to recognize incomplete or subtotal vessel occlusion which may produce intermittent symptoms of variable intensity. Mesenteric malperfusion (MMP), the most dreadful of all malperfusion, is associated with a 3- to 4-fold increase in mortality. The optimal therapeutic management of patients with malperfusion is still a topic of debate.