Commentary: The conundrum of cerebral malperfusion in aortic dissection

The International Registry of Acute Aortic Dissection (IRAD) investigators have provided a detailed analysis of 2402 patients over a 7-year period ending in 2017 in whom cerebral malperfusion (CM) was defined by clinical presentation at the time of type A acute aortic dissection (TAAAD) and was accompanied by clear evidence of neurologic deficit on physical examination.1 The authors boldly conclude that: “it is reasonable to perform surgery on...