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Review
. 2009 Winter;21(4):373-86.
doi: 10.1053/j.semtcvs.2009.11.008.

Acute complicated and uncomplicated type III aortic dissection: an endovascular perspective

Castigliano M Bhamidipati  1 , Gorav Ailawadi
Affiliations
Review

Acute complicated and uncomplicated type III aortic dissection: an endovascular perspective

Castigliano M Bhamidipati et al. Semin Thorac Cardiovasc Surg. 2009 Winter.

Abstract

Type III aortic dissection is associated with high morbidity and mortality. There is a shifting paradigm in the treatment of complicated and uncomplicated acute type III aortic dissection toward earlier endovascular repair. In this review, the authors present the current perspective on the endovascular management of acute complicated and uncomplicated type III aortic dissection.

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Figures

Figure 1
Figure 1
Aortic dissection classification systems – DeBakey and Stanford classifications (adopted from Tran et al., 2009).
Figure 2
Figure 2
Treatment algorithm for acute and chronic Type III aortic dissections.
Figure 3
Figure 3
Endovascular technique for Acute Type III Aortic Dissection (adopted from Atkins et al., 2006). The goal with this technique is coverage of the primary entry tear resulting in false lumen thrombosis.
Figure 4
Figure 4
Axial tomography at presentation and 6 months after early stent graft insertion in a patient with acute uncomplicated Type III aortic dissection. The false lumen at presentation is completely healed with evidence of aortic remodeling at 6 month follow-up.
See this image and copyright information in PMC

References

    1. Shekelton J. Healed dissecting aneurysm. Dublin Hosp Rep. 1922;3:231–232.
    1. Laennec T. Traite de l'auscultation mediate. Vol 2nd ed. Paris: Chaude; 1826.
    1. Debakey ME, Henly WS, Cooley DA, Morris GC, Jr, Crawford ES, Beall AC., Jr Surgical management of dissecting aneurysms of the aorta. J Thorac Cardiovasc Surg. 1965 Jan;49:130–149. - PubMed
    1. Daily PO, Trueblood HW, Stinson EB, Wuerflein RD, Shumway NE. Management of acute aortic dissections. Ann Thorac Surg. 1970 Sep;10(3):237–247. - PubMed
    1. Hagan PG, Nienaber CA, Isselbacher EM, et al. The International Registry of Acute Aortic Dissection (IRAD): new insights into an old disease. JAMA. 2000 Feb 16;283(7):897–903. - PubMed

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