Acute type B aortic dissection is usually suspected clinically based on history and physical examination when a patient presents with severe, sharp, or "tearing" chest or back pain.

2022年11月2日 · Type B aortic dissection occurs in about 10% of Marfan patients, often in the absence of significant dilation of the descending aorta, and is sometimes associated with prior elective aortic root replacement, 1 a previous aortic dissection elsewhere, 6 or pregnancy. 7

2021年8月6日 · Type B. This type involves a tear in the lower aorta only (descending aorta), which may also extend into the abdomen. Some of the things that may raise your risk of aortic dissection include: Certain genetic diseases increase the risk of having an aortic dissection, including: Turner syndrome.

2024年9月26日 · Stanford Type B Aortic Dissection: This type begins farther down your aorta (descending aorta beyond the arch), and farther from your heart. Like the Type A dissection, this usually extends from the descending aorta into your abdominal aorta. But it doesn’t involve the first part of the aorta.

2018年3月16日 · All type B dissections require prompt medical treatment to prevent aortic rupture. Acute complicated dissections are nowadays treated by endografting to reroute blood flow into the true lumen and promote false lumen thrombosis and future aortic remodeling.

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. The tragedies of life are largely arterial.

2024年1月30日 · The American Heart Association explains the various types of aneurysms including abdominal aortic aneurysm, cerebral aneurysm, and thoracic aortic aneurysm.

2024年9月28日 · Type B dissection: chest pain ~60%, back pain ~60%, abdominal pain ~40%. Chest pain may radiate to the back or epigastrium. Painless dissection is rare but may be more likely among patients with older age, diabetes, aortic aneurysm, recent cardiac surgery, or altered consciousness. (Brown 2022)

2024年12月20日 · In patients with dissection starting at or distal to the left subclavian artery (Stanford type B), initial management includes strict blood pressure and heart rate control with monitoring for any complications such as malperfusion, rupture, or hemodynamic instability.

2021年8月9日 · With rapid advances in thoracic endovascular aneurysm repair (TEVAR) technology, and with increasing adoption of this procedure by the cardiovascular community, its role in the management of type B aortic dissection (TBAD) continues to evolve.