Uncomplicated Type B Aortic Dissection: Challenges in Diagnosis and Categorization
2
Issued Date
2023-01-01
Resource Type
ISSN
08905096
eISSN
16155947
Scopus ID
2-s2.0-85160104015
Pubmed ID
37075834
Journal Title
Annals of Vascular Surgery
Rights Holder(s)
SCOPUS
Bibliographic Citation
Annals of Vascular Surgery (2023)
Suggested Citation
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. Uncomplicated Type B Aortic Dissection: Challenges in Diagnosis and Categorization. Annals of Vascular Surgery (2023). doi:10.1016/j.avsg.2023.04.006 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/82917
Title
Uncomplicated Type B Aortic Dissection: Challenges in Diagnosis and Categorization
Author's Affiliation
Rajaie Cardiovascular Intervention Research Center
Siriraj Hospital
Hull York Medical School
Velindre University NHS Trust
Royal Brompton & Harefield NHS Foundation Trust
Barts and The London School of Medicine and Dentistry
University of South Wales
Glenfield Hospital
Duke University
St Bartholomew's Hospital
Chinese University of Hong Kong
Baylor College of Medicine
Università degli Studi dell'Insubria Varese, Facoltà di Medicina e Chirurgia
University Hospital of Wales
SIMS Hospital
Siriraj Hospital
Hull York Medical School
Velindre University NHS Trust
Royal Brompton & Harefield NHS Foundation Trust
Barts and The London School of Medicine and Dentistry
University of South Wales
Glenfield Hospital
Duke University
St Bartholomew's Hospital
Chinese University of Hong Kong
Baylor College of Medicine
Università degli Studi dell'Insubria Varese, Facoltà di Medicina e Chirurgia
University Hospital of Wales
SIMS Hospital
Other Contributor(s)
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.