Type B aortic dissection: new perspectives

Journal of Visualized Surgery
M Schepens

Abstract

Stanford type B aortic dissection is one of the aortic catastrophes with a high mortality and morbidity that needs immediate or delayed treatment, either surgically or endovascularly. This comprehensive review article addresses the current status of open, endovascular and hybrid treatment options for type B aortic dissections with the focus on new therapeutic perspectives. Evaluation of currently available evidence based on randomized and registry data and personal experience. All type B dissections require prompt medical treatment to prevent aortic rupture. Acute complicated dissections are nowadays treated by endografting to reroute blood flow into the true lumen and promote false lumen thrombosis and future aortic remodeling. In acute uncomplicated situations the position of endografting is less clear and should be further delineated; however, on the long run also in these situations endografting might be protective for future aortic catastrophes in certain patient categories. In the chronic dissection with aneurysm formation of the descending thoracic and/or thoracoabdominal aorta, especially in connective tissue disorders, open surgery offers nowadays the best immediate results with long durability. Thoracic endografting p...Continue Reading

Citations

Dec 5, 2019·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Ahmed EleshraNikolaos Tsilimparis
Feb 4, 2021·Journal of Cardiac Surgery·Lara RimmerMohamad Bashir
Mar 17, 2021·The Journal of Thoracic and Cardiovascular Surgery·Lorenzo Di BaccoAntonio Miceli
Jan 27, 2020·The Journal of Thoracic and Cardiovascular Surgery·Dongqiao XiangChuansheng Zheng
Jul 10, 2021·Journal De Médecine Vasculaire·R MiriR Denguir
Jul 27, 2021·Journal of Cardiac Surgery·Callum HowardMohammed Idhrees
Sep 17, 2021·Angiologii︠a︡ i sosudistai︠a︡ khirurgii︠a︡ = Angiology and vascular surgery·D V ChernovaM A Cherniavskiĭ

❮ Previous
Next ❯

Related Concepts

Related Feeds

Aneurysm

Aneurysms are outward distensions or bulges that occurs in a weakened wall of blood vessels. Discover the latest research on aneurysms here.

Related Papers

General Thoracic and Cardiovascular Surgery
J Fleerakkers, M Schepens
European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
Michal NozdrzykowskiFriedrich-Wilhelm Mohr
The Journal of Cardiovascular Surgery
Blandine MaurelStephan Haulon
© 2022 Meta ULC. All rights reserved