CONCLUSIONS
The revascularization-first strategy in AAD with mesenteric malperfusion
was acceptable and may achieve favorable results. However, the
appropriate strategy for severely complicated cases, such as those with
other-major organ malperfusion or having hemodynamically unstable
status, remains controversial. Close evaluation of mesenteric perfusion
using multiple modalities and prompt revascularization are mandatory in
these complicated cases. Moreover, IVR at the hybrid OR enables
immediate revascularization, followed by central aortic repair. A hybrid
OR provides an ideal environment where interventional radiology and
surgery can be performed at the same time for the aortic team of cardiac
surgeons, radiologists, and anesthesiologists.
Acknowledgements We thank the Honyaku Center for reviewing and
editing the manuscript. We also thank our colleagues for their helpful
comments.
Disclosure Statement There are no conflicts of interest to
declare.
Funding statement: We did not receive any financial support for
this study.