Uncomplicated type B aortic dissection: Challenges in diagnosis and categorization
Mariscalco, Giovanni
Mariscalco, Giovanni
Abstract
Background: Acute type B aortic dissection (TBAD) is a rare disease that is likely under-diagnosed in the UK. As a progressive, dynamic clinical entity, many patients initially diagnosed with uncomplicated TBAD deteriorate, developing end-organ malperfusion and aortic rupture (complicated TBAD). An evaluation of the binary approach to the diagnosis and categorisation of TBAD is needed.
Methods: A narrative review of the risk factors predisposing patients to progression from unTBAD to coTBAD was undertaken.
Results: Key high-risk features predispose the development of complicated TBAD, such as maximal aortic diameter > 40 mm and partial false lumen thrombosis.
Conclusion: An appreciation of the factors that predispose to complicated TBAD would aid clinical decision-making surrounding TBAD.
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Date
2023-04-17
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Article
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Bashir, M., Tan, S. Z., Jubouri, M., Coselli, J., Chen, E. P., Mohammed, I., Velayudhan, B., Sadeghipour, P., Nienaber, C., Awad, W. I., Slisatkorn, W., Wong, R., Piffaretti, G., Mariscalco, G., Bailey, D. M., & Williams, I. (2023). Uncomplicated Type B Aortic Dissection: Challenges in Diagnosis and Categorization. Annals of vascular surgery, S0890-5096(23)00223-6. Advance online publication. https://doi.org/10.1016/j.avsg.2023.04.006