Optimal management of acute type A aortic dissection with mesenteric malperfusion

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