Performance of the Open-first Repair Strategy in Type A Aortic Dissection with Mesenteric Malperfusion Syndrome Eligible for Delayed Repair

For patients with Type A aortic dissection complicated by mesenteric malperfusion syndrome (MMPS), some centers advocate a non-traditional approach based on upfront endovascular intervention and delayed open repair. However, the efficacy of this strategy cannot be understood without first understanding outcomes of the traditional open-first strategy in the same select patient population eligible for delayed repair, applying modern techniques of hybrid aortic surgery.