Traitement des complications vasculaires des dissections aortiques

Progress in cardiovascular surgery, anesthesiology, post operative care, imaging, and a better knowledge of medullar vascularization has resulted in an improved management of ischemic complications during acute aortic dissection. Scanners of new generation allow fast and precise analysis of the mechanisms involved in the visceral mal perfusion syndrome. Combined strategies using both surgical and endovascular interventional radiology constitute an offensive treatment, which could be beneficial for patients during acute and long-term clinical follow-up. Multidisciplinary radiological, surgical, cardiovascular, and anesthetic approach should improve short- and long-term prognosis of aortic dissections.