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Management of Acute Type B Aortic Dissection With Malperfusion via Endovascular Fenestration/Stenting

Sunday, October 18, 2020

Submitted by

Jessica Luc

Source

Source Name: The Journal of Thoracic and Cardiovascular Surgery

Source URL: https://www.jtcvs.org/article/S0022-5223(19)32070-7/fulltext

Author(s)

Elizabeth L. Norton, MS, David M. Williams, MD, Karen M. Kim, MD, Minhaj S. Khaja, MD, MBA, Xiaoting Wu, PhD, Himanshu J. Patel, MD, G. Michael Deeb, MD, Bo Yang, MD, PhD

In this article in the Journal of Thoracic and Cardiovascular Surgery, Drs Norton et al performed a single institution retrospective analysis of outcomes of 182 patients with acute type B aortic dissection who underwent fenestration/stenting for suspected malperfusion. They demonstrate the laudible outcomes in this patient population, with 0% new onset paraplegia and 7.7% in-hospital mortality in this high-risk patient population, where acute paralysis was a significant risk factor for late mortality. Overall, endovascular fenestration/stenting can be associated with acceptable short- and long-term outcomes.