• J. Thorac. Cardiovasc. Surg. · Mar 2013

    Review

    Management of acute type B aortic dissection.

    • G Chad Hughes, Nicholas D Andersen, and Richard L McCann.
    • Division of Cardiovascular and Thoracic Surgery, Duke University Medical Center, Durham, NC 27710, USA. gchad.hughes@duke.edu
    • J. Thorac. Cardiovasc. Surg. 2013 Mar 1; 145 (3 Suppl): S202-7.

    AbstractAcute type B aortic dissection (identified within 2 weeks of symptom onset), as described using the Stanford classification, involves the aorta distal to the left subclavian artery and accounts for 25%-40% of all aortic dissections. The traditional treatment paradigm of medical management for uncomplicated acute type B dissection and open surgical intervention for early or late complications of type B dissection is currently undergoing a period of evolution as a result of the influence of minimally invasive thoracic endovascular aortic repair options. Thoracic endovascular repair has replaced open surgical repair as the preferred treatment for complicated acute type B dissection, and may also prove beneficial for prophylactic repair of uncomplicated acute type B dissection for high-risk patients. This review discusses the management of acute type B aortic dissection and long-term treatment considerations.Copyright © 2013 The American Association for Thoracic Surgery. Published by Mosby, Inc. All rights reserved.

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