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. 2018 Jan 17:4:14.
doi: 10.21037/jovs.2017.12.06. eCollection 2018.

Chronic type B "residual" after type A: what I would do?

Martin Czerny  1   2 , Maximilian Kreibich  1   2 , Julia Morlock  1   2 , Stoyan Kondov  1   2 , Johannes Scheumann  1   2 , Holger Schröfel  1   2 , Fabian A Kari  1   2 , Tim Berger  1   2 , Matthias Siepe  1   2 , Friedhelm Beyersdorf  1   2 , Bartosz Rylski  1   2
Affiliations

Chronic type B "residual" after type A: what I would do?

Martin Czerny et al. J Vis Surg. .

Abstract

"The major goal of surgery for acute type A aortic dissection is to have an alive patient." This motto still remains the most important directive. However, also depending onto the extent of the underlying pathology and consecutively depending onto the extent of primary surgery, there is and will be need for additional classical surgical or interventional treatment sooner or later during follow-up in a substantial number of patients having had surgery for acute type A aortic dissection. This article shall guide the interested reader through the underlying mechanisms as well as treatment options in patients with chronic type B "residual" after type A repair and shall finally suggest preventive strategies to reduce the occurrence of this pathology to a minimum.

Keywords: Chronic type B residual; aortic arch; frozen elephant trunk (FET); thoracic endovascular aortic repair (TEVAR); type A repair.

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Conflict of interest statement

Conflicts of Interest: The authors have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
Beating heart total aortic arch replacement using the FET technique (18). FET, frozen elephant trunk. Available online: http://asvidett.amegroups.com/article/view/22358
Figure 2
Figure 2
Type II thoracoabdominal replacement in a patient after classical ET arch replacement (22). ET, elephant trunk. Available online: http://asvidett.amegroups.com/article/view/22359
See this image and copyright information in PMC

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