CONCLUSION
The outcomes of surgical treatment of TAAAD with CM have been improved,
and indicate acceptable early mortality and morbidity in this critically
ill cohort of patients. It is reasonable to perform lifesaving surgery
on patients who present with TAAAD complicated by CM. Early central
surgical repair and reperfusion of brain may improve the outcomes.
Indeed, clinical trials with large samples are needed.
Funding: This research did not receive any specific grant from
funding agencies in the public, commercial, or not-for-profit sectors.
Conflicting of interest: The authors declare that there are no
conflicts of interest.
Acknowledgment: No.