医学
主动脉夹层
解剖(医学)
主动脉弓
升主动脉
主动脉
疾病
胸主动脉
外科
自然史
心脏病学
内科学
作者
Martin Czerny,Bartosz Rylski,Friedhelm Beyersdorf
出处
期刊:Current Opinion in Cardiology
[Ovid Technologies (Wolters Kluwer)]
日期:2016-11-01
卷期号:31 (6): 606-610
被引量:3
标识
DOI:10.1097/hco.0000000000000330
摘要
Purpose of review Type B aortic dissection has largely been regarded as the nice dissection with regard to its natural course, especially when compared with type A aortic dissection. However, a more thorough look into the natural course of the disease has shown that a high number of patients with type B aortic dissection will experience complications and will require therapy, sooner or later. Recent findings Reasons and timepoints are different, being malperfusion, contained rupture and retrograde propagation of the disease into the aortic arch or into the ascending aorta in the early phase and being mainly aneurysmal formation in the chronic phase of the disease. Summary This article provides the interested reader with detailed knowledge regarding the natural course of the disease and is meant as a companion to anticipate the right timepoint for therapy and finally as a guide to do the right things when advancing to treatment.
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