Acute type B aortic dissection: update on proper management

Geropapas, Georgios; Galyfos, George; Stefanidis, Ioannis; Stamatatos, Ioannis; Kerasidis, Stavros; Giannakakis, Sotirios; Kastrisios, Georgios; Papacharalampous, Gerasimos; Maltezos, Chrisostomos

doi:10.1016/s2221-6189(14)60058-5

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2017

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“…In the open repair independent prognostic factor for perioperative mortality includes presence of cardiac tamponade, intima tear (location), renal or visceral ischemia, duration of surgery, renal diseases and the presence pulmonary pathology. The assessment between endovascular repair with open repair treatments in complicated type B dissection remains limited due to lack of randomized controlled trials [9].…”

Section: Discussionmentioning

confidence: 99%

Acute Type B Dissection Complicated by Aortic Coarctation

Singh¹,

Yang²,

Zhang³

et al. 2017

ACT

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We report a case of acute type B aortic dissection complicated by coarctation of aorta in 35-year-old women. Computed tomography angiography (CTA) showed a short segment aortic narrowing with diameter of 9.2 mm a small intimal tear, a true lumen, a false lumen, a markedly thick mural thrombus and pleural effusion. Open surgical procedure was performed and the aortic coarctation (CoA) and aortic dissection were resected and a 24-mm prosthetic graft was anastomosed. No pseudo aneurysms were present at the anastomosis sites on the follow up CTA.

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Section: Discussionmentioning

confidence: 99%