Tag Archives: total aortic arch replacement

Introduction Acute type A aortic dissection (ATAAD) complicated by cerebral malperfusion is a life-threatening condition that is associated with high morbidity and mortality.1 There is no consensus on which condition should be addressed first: the dissection or cerebral malperfusion.1 Severe brain injury at presentation has historically been seen as a reason to avoid emergency surgery, with several studies suggesting a delayed surgical approach until the patient’s neurological status improves.2 At the International Registry of Acute Aortic Dissection (IRAD) enrolling centres, the presence and type of brain injury significantly influenced pa