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Page 8 of 9 Lou et al. Vessel Plus 2022;6:38 https://dx.doi.org/10.20517/2574-1209.2021.108

indicated.

Other types of malperfusion syndromes may require alternative approaches. MMP is the most lethal variant
of malperfusion syndromes with multiple studies demonstrating this condition to be an independent
predictor of in-hospital mortality. Due to the poor outcomes after isolated central aortic repair and the
excellent short- and long-term outcomes of TEVAR for the treatment of complicated TBAD, there has been
an emerging role for the use of endovascular techniques in the management of ATAAD with MMP.
Ultimately, for the successful management of ATAAD complicated by malperfusion, the involvement of a
multidisciplinary team and a patient-specific approach are absolutely critical.

DECLARATIONS
Authors’ contributions
Preparing and writing the manuscript, editing and revising the manuscript, approving the final version:
Lou X, Chen EP

Availability of data and materials
Not applicable.

Financial support and sponsorship
None.

Conflicts of interest
Both authors declared that there are no conflicts of interest.

Ethical approval and consent to participate
Not applicable.

Consent for publication
Not applicable.

Copyright
© The Author(s) 2022.

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