Comparison of aortic arch repair using the endovascular technique, total arch replacement and staged surgery. Yoshitake A, Okamoto K, Yamazaki M, et al. The 5-year survival after thoracic endovascular aortic repair (TEVAR) for acute type B aortic dissection is 81%. : Dissection status post-proximal repair with late distal aneurysm. Thoracic aortic dissection: long-term results of endovascular and open repair.
Freedom from re-operation at both 5 and 10 years ranges from 59% to 95%. The 10-year survival after surgery of ascending aortic dissection is 52%. 1990 Nov 21 264(19):2537-41.įollowing treatment, patients remain at risk for further aneurysmal degeneration of remaining diseased aorta. The diagnosis and management of aortic dissection. Epidemiology and clinicopathology of aortic dissection. Meszaros I, Morocz J, Szlavi J, Schmidt J, Tornoci L, Nagy L, Szep L. Late degeneration of the dissected aorta into a false lumen aneurysm occurs in 30% to 50% of patients. The international registry of acute aortic dissection (IRAD): New insights into an old disease. Expert consensus document on the treatment of descending thoracic aortic disease using endovascular stent-grafts. Svensson LG, Kouchoukos NT, Miller DC, et al. Left untreated, the natural history of proximal acute aortic dissection is of false channel rupture with fatal exsanguination in 50% to 60% of patients within 24 hours. Clinical profiles and outcomes of acute type B aortic dissection in the current era: lessons from the International Registry of Aortic Dissection (IRAD). A deadly triad of hypotension/shock (not syncope), lack of chest or back pain (presumably related to delay in diagnosis), and branch vessel involvement is also described. Syncope at presentation is usually associated with worse outcomes.
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