Acute type B aortic dissection complicated with a mycotic aortic arch aneurysm

2003 ◽  
Vol 51 (10) ◽  
pp. 545-547 ◽  
Author(s):  
Katsuhiko Matsuyama ◽  
Masahiko Matsumoto ◽  
Takaaki Sugita ◽  
Junichiro Nishizawa ◽  
Yujiro Kawanishi ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Aortic Arch ◽  
Aortic Arch Aneurysm ◽  
Acute Type ◽  
Type B ◽  
Type B Aortic Dissection ◽  
Arch Aneurysm

Extensive total arch replacement via clamshell incision in a patient with aortic arch aneurysm and Stanford type B aortic dissection

2008 ◽  
Vol 56 (4) ◽  
pp. 183-186 ◽  
Author(s):  
Hideyuki Shimizu ◽  
Tatsuo Takahashi ◽  
Masataka Yamazaki ◽  
Tomohiro Anzai ◽  
Mikihiko Kudo ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Aortic Arch ◽  
Aortic Arch Aneurysm ◽  
Total Arch Replacement ◽  
Type B ◽  
Type B Aortic Dissection ◽  
Arch Aneurysm ◽  
Stanford Type B ◽  
Clamshell Incision

scholarly journals A Surgical Case of Type B Aortic Dissection with Concomitant Distal Aortic Arch Aneurysm

2007 ◽  
Vol 36 (3) ◽  
pp. 162-165
Author(s):  
Ko Takigami ◽  
Masatoshi Motohashi ◽  
Akira Adachi ◽  
Keishu Yasuda
Keyword(s):  
Aortic Dissection ◽  
Aortic Arch ◽  
Aortic Arch Aneurysm ◽  
Type B ◽  
Type B Aortic Dissection ◽  
Surgical Case ◽  
Distal Aortic Arch Aneurysm ◽  
Arch Aneurysm

scholarly journals Staged Hybrid Repair for Acute Type B Aortic Dissection of Right-Sided Aortic Arch

2017 ◽  
Vol 05 (03) ◽  
Author(s):  
Takanori Shibukawa ◽  
Takashi Yamauchi ◽  
Takafumi Masai
Keyword(s):  
Aortic Dissection ◽  
Aortic Arch ◽  
Acute Type ◽  
Type B ◽  
Type B Aortic Dissection ◽  
Hybrid Repair

scholarly journals Aortic Geometric Alteration Associated With Acute Type B Aortic Dissection: Angulation, Tortuosity, and Arch Type

2021 ◽  
Vol 12 ◽  
Author(s):  
Likun Sun ◽  
Jiehua Li ◽  
Lunchang Wang ◽  
Quanming Li ◽  
Hao He ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Aortic Arch ◽  
False Lumen ◽  
Ascending Aorta ◽  
Acute Type ◽  
Type B ◽  
Type B Aortic Dissection ◽  
True Lumen ◽  
Factors Associated ◽  
Geometric Factors

Background: Acute type B aortic dissection is a highly serious aortic pathology. Aortic geometric parameters may be useful variables related to the occurrence of acute type B aortic dissection (aTBAD). The aim of the study is to delineate the alteration in aortic geometric parameters and analyze the specific geometric factors associated with aTBAD.Methods: The propensity score matching method was applied to control confounding factors. The aortic diameter, length, angulation, tortuosity, and type of aortic arch of the aTBAD and control group were retrospectively analyzed via three-dimensional computed tomography imaging created by the 3mensio software (version 10.0, Maastricht, The Netherlands). The geometric variables of true lumen and false lumen in the descending aorta were measured to estimate the severity of aortic dissection. Multivariable logistic regression models were used to investigate the significant and specific factors associated with aTBAD occurrence. The area under the receiver operating characteristic curve (AUC) was used to estimate the performance of the model.Results: After propensity score matching, 168 matched pairs of patients were selected. The ascending aorta and aortic arch diameters were dilated, and the ascending aorta and total aorta lengths were elongated in aTBAD group significantly (P < 0.001). The ascending aorta and aortic arch angulations in the aTBAD group were sharper than those of the controls (P = 0.01, P < 0.001, respectively). The aortic arch and total aorta tortuosities were significantly higher in the aTBAD group (P = 0.001, P < 0.001, respectively). There were more type III arch patients in the aTBAD group than the controls (67.9 vs. 22.6%). The true lumen angulation was sharper than that in the false lumen (P < 0.01). The true lumen tortuosity was significantly lower than that in the false lumen (P < 0.001). The multivariable models identified that aortic arch angulation, tortuosity, and type III arch were independent and specific geometric factors associated with aTBAD occurrence. The AUC of the multivariable models 1, 2, 3 were 0.945, 0.953, and 0.96, respectively.Conclusions: The sharper angulation and higher tortuosity of aortic arch and type III arch were the geometric factors associated with aTBAD in addition to the ascending aorta elongation and aortic arch dilation. The angulation and tortuosity of the true and false lumens may carry significant clinical implications for the treatment and prognosis of aTBAD.

Total Arch Replacement With Stented Elephant Trunk Technique for Acute Type B Aortic Dissection Involving the Aortic Arch

2012 ◽  
Vol 93 (5) ◽  
pp. 1517-1522 ◽  
Author(s):  
Hai-Peng Zhao ◽  
Jun-Ming Zhu ◽  
Wei-Guo Ma ◽  
Jun Zheng ◽  
Yong-Min Liu ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Aortic Arch ◽  
Total Arch Replacement ◽  
Acute Type ◽  
Type B ◽  
Type B Aortic Dissection ◽  
Elephant Trunk ◽  
Elephant Trunk Technique

Morphological Features of Aortic Arch Predicting the Risk for Acute Type B Aortic Dissection

2021 ◽  
Author(s):  
Likun Sun ◽  
Xin Li ◽  
Quanming Li ◽  
Ming Li ◽  
Hao He ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Aortic Arch ◽  
Morphological Features ◽  
Acute Type ◽  
Type B ◽  
Type B Aortic Dissection

scholarly journals Anatomy of the retrograde type A aortic dissection after endovascular repair of type B aortic dissection: a case report

2021 ◽  
Vol 0 (Ahead of Print) ◽  
Author(s):  
Uliana Pidvalna ◽  
Marianna Mirchuk ◽  
Anna Voitovych ◽  
Dmytro Beshley
Keyword(s):  
Aortic Dissection ◽  
Aortic Arch ◽  
Type A ◽  
Ascending Aorta ◽  
Medical Attention ◽  
Acute Type ◽  
Type B ◽  
Type B Aortic Dissection ◽  
Type A Aortic Dissection ◽  
Aortic Replacement

Aortic dissection requires immediate medical attention. The optimal treatment approach of Type B aortic dissection is still a matter of debate. Possible options include open surgery, endovascular aortic repair (EVAR), and hybrid procedure. The indication for surgery is the dissection that involves the ascending aorta and the aortic arch (Type A Stanford, Types I and II DeBakey). Hybrid or endovascular procedures seem to be an attractive alternative treatment for patients with the complex aortic disease and a high risk of surgery. Endovascular treatment of acute Type B aortic dissections is designed to prevent the retrograde dissection of the ascending aorta and the aortic arch. The occurrence of retrograde Type A aortic dissection (RTAD) is rare, but the mortality rate is high. We report a case of a 55-year-old gentleman who had undergone thoracic EVAR. Thirty months after the given procedure he presented with RTAD and underwent supracoronary aortic replacement. The article is intended to remind the clinicians of the importance of early detection of the possible complications when performing EVAR, and the significance of a rapid response.

scholarly journals Prevalence of Bovine Aortic Arch Variant and its Implication in Outcome of Patients with Acute Type B Aortic Dissection

2019 ◽  
Vol 58 (6) ◽  
pp. e1
Author(s):  
Spyridon N. Mylonas ◽  
Marius Ante ◽  
Arturs Barkans ◽  
Moritz S. Bischoff ◽  
Dittmar Böckler ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Aortic Arch ◽  
Acute Type ◽  
Type B ◽  
Type B Aortic Dissection ◽  
Bovine Aortic Arch
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