Application of the Branch-First Technique in Mesenteric Malperfusion Syndrome Prior to Delayed Open Aortic Repair for Acute Type A Aortic Dissection

Key Points

• The aim is to evaluate the effectiveness of the Branch-First Technique in patients with mesenteric malperfusion syndrome undergoing aortic repair.
• Analyzed high-risk patients with mesenteric malperfusion syndrome.
• Evaluated outcomes in patients receiving salvaging interventions.
• Compared in-hospital mortality and survival with non-mesenteric malperfusion syndrome patients.
• Identified predictors of organ failure through biomarkers.
• Salvage intervention effectively bridges to central aortic repair.
• In-hospital mortality rates were comparable between both patient groups.
• Short-term survival rates remained similar for mesenteric malperfusion syndrome and non-mesenteric malperfusion syndrome patients.
• Reduced true lumen at diaphragm and increased D-dimer were independent predictors of organ failure.