Abstract
Approximately 20% of all patients diagnosed with acute type A dissection will have some form of cerebral malperfusion. Earlier reports of patients undergoing surgical repair in this setting have produced rather dismal results with mortality as high as 30% to 50%. Because of the limited success reported in these previous studies, some advocate nonoperative or delayed surgical management for patients with central nervous system malperfusion. In this small series, Pocar and colleagues [1] describe their experience with emergency surgical repair of acute type A dissection in patients presenting with coma.
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