Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2009;5(1):53-63.
Epub 2009 Apr 8.

Current management of type B aortic dissection

Affiliations
Review

Current management of type B aortic dissection

T Paul Tran et al. Vasc Health Risk Manag. 2009.

Abstract

Acute aortic dissection is a life-threatening condition associated with high morbidity and mortality. In this article, the authors review basic biology of the aorta and aortic dissection, epidemiology, clinical presentation, diagnostic approach, emergency stabilization measures, and the latest surgical approach for type B dissection.

Keywords: acute aortic dissection; aorta; diagnosis; management; review.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Layers of aortic wall.
Figure 2
Figure 2
Aortic dissection. Actual specimen (A) and intravascular imaging (B) show both the true and false lumen.
Figure 3A
Figure 3A
Debakey classification.
Figure 3B
Figure 3B
Stanford classification of aortic dissection. Stanford type A includes dissections that involve the ascending aorta, arch, and descending thoracic aorta. Stanford type B includes dissections that originate in the descending (and thoracoabdominal) aorta, regardless of any retrograde involvement of the arch.
Figure 4
Figure 4
Computer tomography with enhanced contrast showing type B dissection.
Figure 5
Figure 5
Intravascular imaging of aortic dissection.

References

    1. Osler W, Silverman ME, Murray TJ, et al. American College of Physicians. The quotable Osler. Philadelphia: American College of Physicians; 2003.
    1. Coady MA, Rizzo JA, Goldstein LJ, et al. Natural history, pathogenesis, and etiology of thoracic aortic aneurysms and dissections. Cardiol Clin. 1999;17:615–35. - PubMed
    1. DeBakey ME, McCollum CH, Crawford ES, et al. Dissection and dissecting aneurysms of the aorta: twenty-year follow-up of five hundred twenty-seven patients treated surgically. Surgery. 1982;92:1118–34. - PubMed
    1. Fuster V, Andrews P. Medical treatment of the aorta. I. Cardiol Clin. 1999;17:697–715. viii. - PubMed
    1. Lindsay J, Jr, Hurst JW. Clinical features and prognosis in dissecting aneurysm of the aorta. A re-appraisal. Circulation. 1967;35:880–8. - PubMed

MeSH terms