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J Thorac Cardiovasc Surg 2008;135:1201
© 2008 The American Association for Thoracic Surgery

Editorial

Treatment of acute type b aortic dissection: New and improved?

R. Scott Mitchell, MD*

Falk Cardiovascular Research Center, Stanford University Medical Center, Stanford, Calif

Received for publication June 12, 2007; accepted for publication July 5, 2007.

* Address for reprints: R. Scott Mitchell, MD, Falk Cardiovascular Research Center, Stanford University Medical Center, Stanford, CA 94305-5407. (Email: rsmitch@stanford.edu).

The first 20% of the full text of this article appears below.


See related article on page 1380.

 

The utility of endovascular stent grafts for the treatment of complicated type b aortic dissections, especially involving malperfusion, has been well established, at least in the short term. These patients are generally quite compromised, with impaired visceral perfusion and end organ dysfunction. The case herein reported by Iannelli and colleagues1Go is not clearly complicated, although emergency surgical intervention was "considered because of the substantial risk of impending rupture." Persistent pain and hypertension in the short term may just require more aggressive therapy. Although . . . [Full Text of this Article]


Related Article

Complicated acute type B aortic dissection involving the arch: Treatment by simultaneous hybrid approach under local anesthesia
Gabriele Iannelli, Mario Monaco, Luigi Di Tommaso, and Federico Piscione
J. Thorac. Cardiovasc. Surg. 2008 135: 1380-1382. [Extract] [Full Text] [PDF]





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