JCTCV:23(1)
Background: Type A aortic dissection can lead to organ malperfusion. This malperfusion can affect the myocardium, the brain, the bowels, the spinal cord, the kidneys or the limbs, with one or several of them being affected at the same time. Our study aimed to report the results of those patients in our center. Methods: We followed a cohort of patients who were surgically treated for Type A aortic dissection between January 2011 and December 2015. We analyzed the results of postoperative morbi-mortality. Results: During the 5 year study, 159 patients underwent surgical aortic repair. Malperfusion was reported in 28 patients (18%): 16 cerebral malperfusions, 8 limb ischemia, 2 spinal cord malperfusions, 1 myocardium ischemia, and 1 mesenteric ischemia. Postoperative mortality was 57% (16 patients out of 28) among patients suffering from malperfusion versus 21% (28 patients out of 131) among patients without malperfusion (p=0.003). Conclusions: The prognosis of patients suffering from Type A aortic dissection is negatively affected by the existence of organ malperfusion. The treatment of those complicated patients requires multidisciplinary consultation to improve outcomes.