Why the study?
What are the current surgical indications for treating acute type B aortic dissection?
What are the current surgical indications for treating acute type B aortic dissection?
This review outlines the current surgical indications and the impact of minimally invasive stent graft placement for treating acute type B aortic dissection.
May inform surgical indications for acute type B aortic dissection; leaves open prospective validation of stent graft outcomes.
Acute type B aortic dissection (ATBAD) is a medical emergency that is a common occurrence in patients with atherosclerotic disease. The presentation is usually severe, with tearing pain that radiates to the back, and various levels of end-organ ischemia and malperfusion, even rupture, may occur. Everyone agrees that prompt and aggressive blood pressure control with β-blockers and nitroprusside is imperative, but when to surgically intervene is still not well characterized. However, the advent of minimally invasive stent graft placement has reshaped our thoughts regarding therapeutic intervention for ATBAD. This review is an attempt to define the current surgical indications for treating ATBAD.
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Mousa et al. (2015) studied this question.
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