Management of acute type B aortic dissection.


Journal Article (Review)

Acute 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.

Full Text

Cited Authors

  • Hughes, GC; Andersen, ND; McCann, RL

Published Date

  • March 2013

Published In

Volume / Issue

  • 145 / 3 Suppl

Start / End Page

  • S202 - S207

PubMed ID

  • 23267526

Pubmed Central ID

  • 23267526

Electronic International Standard Serial Number (EISSN)

  • 1097-685X

Digital Object Identifier (DOI)

  • 10.1016/j.jtcvs.2012.11.078


  • eng

Conference Location

  • United States