Abstract:

Acute Stanford type A aortic dissection （ATAAD） frequently involves the branch arteries after onset， leading to impaired organ perfusion. When complicated with mesenteric malperfusion syndrome（mesMPS）， the diagnosis is likely to be delayed due to non-specific clinical manifestations and the lack of specific laboratory tests and imaging findings. In-hospital mortality remains high for this condition. There is no consensus among scholars at home and abroad on the treatment strategy of this acute and critical disease，and emergent open aortic repair is a traditional treatment measure. However， this approach is associated with high rates of postoperative complications and poor long-term prognosis. Therefore， there is controversy over whether aortic repair or restore superior mesenteric artery perfusion restoration should be prioritized. This article reviews the current research on the pathogenesis， diagnosis and treatment strategies for ATAAD complicated with mesMPS， aiming to provide a basis for clinicians to diagnose and accurately treat this disease.

Key words: Acute Stanford type A aortic dissection, Mesenteric artery, superior, Malperfusion, Revascularization, Therapeutic