Treatment of type B aortic dissection: endoluminal repair or conventional medical therapy?☆

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Treatment of type B aortic dissection: endoluminal repair or conventional medical therapy?

OBJECTIVE To evaluate the mid-term results of endovascular stent-grafting for type B aortic dissection, in comparison with those of standard medical therapy in uncomplicated cases. METHODS Between January 1999 and 2004, among 56 patients (mean age 59.5+/-11.5 years) with type B aortic dissection, hypotensive medical therapy was the only treatment in 28 uncomplicated cases, (group A), while st...

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Thoracic endovascular aortic repair for acute complicated type B aortic dissection: superiority relative to conventional open surgical and medical therapy.

OBJECTIVE This study compared outcomes between thoracic endovascular aortic repair and conventional open surgical and medical therapies for acute complicated type B aortic dissection. METHODS From 2002 to 2010, a total of 170 patients with type B aortic dissections were retrospectively identified from the University of Pennsylvania aortic database. Of these 170 patients, 147 had acute type B ...

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Medical management in type B aortic dissection.

Medical management is generally the preferred treatment for uncomplicated type B acute aortic dissection cases. It is often centered on the use of antihypertensive agents, which alleviates hemodynamic stress on the damaged aortic wall. Methods of medical management and drug selection are still based mainly on personal experience, expert opinion and historical observational studies as randomized...

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Thoracic endovascular aortic repair for type B aortic dissection.

BACKGROUND Thoracic endovascular aortic repair (TEVAR) has emerged as an acceptable off-label treatment modality for aortic dissection. We report our experience in endovascular treatment of this disease with an emphasis on defining the patterns of morbidity. METHODS We retrospectively reviewed all (n = 90) patients with thoracic aortic disease who received a TEVAR between February 2005 and De...

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Complicated Type B aortic dissection following Type A aortic Dissection Repair: Case Report

Method A 47 year old gentleman presented with chest pain radiating to the back which started during coitus. On admission he was diagnosed with hypertensive crisis and was given a GTN infusion. A CT scan of the aorta showed full length aortic dissection including the brachiocephalic trunk and both common iliac arteries. He was transferred to the Cardiac Unit for surgical repair of the type A aor...

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ژورنال

عنوان ژورنال: European Journal of Cardio-Thoracic Surgery

سال: 2005

ISSN: 1010-7940

DOI: 10.1016/j.ejcts.2005.02.002