Abstract

SURGICAL REPAIR of acute type A aortic dissection is still associated with a 25% mortality and a 20% stroke rate.1-4 Perioperative stroke after this complex surgery independently predicts for mortality and prolonged hospitalization.5,6 Integrated perioperative management of type A dissection significantly reduces mortality and stroke by more than 50%.7-12 During surgical repair, the aortic intimal flap may produce brachiocephalic malperfusion with a consequent increase in perioperative stroke risk.

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