Cookbooks, Dissections and the Kidneys

Abstract

A rather clear message emerges from the analysis presented by Sandford and colleagues in this month’s issue of the European Journal of Vascular and Endovascular Surgery.1 Based on their review of 155 acute type B aortic dissections (ATBAD), they demonstrate that any evidence of acute kidney injury (AKI) is an ominous sign, even in those who had an otherwise clinically uncomplicated disease; that is, there is an increase in morbidity and mortality that is sustained beyond 30 days. Placed within the context of what we know about ATBADs and what our guidelines prescribe, an unsavoury aftertaste also makes its way forth.