scholarly journals Thoracic Aortic Dissection and Thoracoabdominal Acute Type B Aortic Dissections Have Superior Survival When Treated With Thoracic Endovascular Aneurysm Repair and Open Surgery Compared to Medical Therapy: Outcomes from the National Medicare Database

2012 ◽  
Vol 56 (3) ◽  
pp. 886
Author(s):  
James F. McKinsey ◽  
In-Kyong Kim ◽  
Eugene Sosunov ◽  
Alan Moskowitz ◽  
Natalia Egorova
Keyword(s):  
Aortic Dissection ◽  
Open Surgery ◽  
Endovascular Aneurysm Repair ◽  
Acute Type ◽  
Type B ◽  
Therapy Outcomes ◽  
Thoracic Endovascular Aneurysm Repair ◽  
Medicare Database ◽  
Aortic Dissections ◽  
Aneurysm Repair

scholarly journals Thoracic endovascular aneurysm repair for complicated type B aortic dissection

2011 ◽  
Vol 54 (5) ◽  
pp. 1529-1533 ◽  
Author(s):  
Christoph A. Nienaber ◽  
Stephan Kische ◽  
Hüseyin Ince ◽  
Rossella Fattori
Keyword(s):  
Aortic Dissection ◽  
Endovascular Aneurysm Repair ◽  
Type B ◽  
Type B Aortic Dissection ◽  
Thoracic Endovascular Aneurysm Repair ◽  
Aneurysm Repair

scholarly journals Aortic intramural hematoma and classic aortic dissection: two sides of the same coin within the acute aortic syndrome for an interventional radiologist

2021 ◽  
pp. 20210019
Author(s):  
Pietro Pitrone ◽  
Antonino Cattafi ◽  
Giampiero Mastroeni ◽  
Francesco Patanè ◽  
Fabrizio Ceresa ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Aortic Rupture ◽  
Endovascular Aneurysm Repair ◽  
Intramural Hematoma ◽  
Acute Type ◽  
Close Relationship ◽  
Thoracic Endovascular Aneurysm Repair ◽  
Visceral Malperfusion ◽  
Aortic Intramural Hematoma ◽  
Aneurysm Repair

management of acute type B aortic intramural hematoma (AIH) still represents a challenging issue. Although most resolve spontaneously or with conservative therapy, several cases of AIH may complicate into classic aortic dissection with subsequent risk of aortic rupture and visceral malperfusion, thus needing urgent or preemptive thoracic endovascular aneurysm repair (TEVAR). Despite the long-term aorta-related survival, TEVAR might lead to graft obstruction, migration, infection, stroke/paraplegia, visceral ischemia, endoleak and, last but not least, retrograde aortic dissection (AD), frequent in the acute phase and associated with a high mortality risk. In order to highlight such a close relationship between AIH and AD and the possibility to perform endovascular treatment, we report the experience of an adult female patient with an aortic intramural hematoma evolving into a classic aortic dissection. Despite successful thoracic endovascular aneurysm repair (TEVAR), our patient developed an aortic dissection type A at one month with subsequent indication for cardiac surgery, still representing the elective approach in case of pathologies including the ascending aorta. Thus, the aim of our discussion is to create a debate on the most appropriate management for the treatment of descending AIH.

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