Initial experience in the treatment of acute aortic syndrome in a hospital of the Ministry of Health of Peru. Overcoming adversity

Chávarry-Infante P.; Ríos-Ortega J.C.; Gonzáles-Castro S.; Salas-Escobedo G.; Abanto-Guiop F.; Salas-Lor M. · Cirugia Cardiovascular (2024) · DOI: 10.1016/j.circv.2023.05.001

Resumen

Acute aortic syndrome involves 3 entities (penetrating aortic ulcer, aortic dissection, and intramural hematoma) that, if not treated promptly cause the death of the patient in most cases. Timely treatment (surgical in most cases) requires an efficient transfer system, immediate availability of resources, trained doctors, etc. The hospitals of the Ministry of Health of Peru usually have limited resources that do not allow timely treatment of highly complex cardiovascular pathology. In this context, we present our initial experience in the management of 2 patients with type A aortic dissection and one patient with a penetrating aortic ulcer complicated by aortic pseudoaneurysm.