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The role of concomitant coronary artery bypass grafting in acute type A aortic dissection complicated by coronary malperfusion.

Leonard PittsMarkus KoflerMatteo MontagnerRoland HeckStephan Dominik KurzSimon SündermannVolkmar FalkJoerg Kempfert
Published in: European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery (2024)
Postoperative outcomes in case of coronary malperfusion are poor, irrespective of the anatomic dissection pattern. The decision for concomitant bypass surgery is crucial but may be considered in Neri C patients combined with aortic root replacement. Bailout revascularization was most common in Neri B and showed dismal outcome.
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