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

The initial experience from Ann Arbor throughout a quarter of a century in malperfusion syndrome from type B (De Bakey III) aortic dissection is presented in this paper, juxtaposing early fenestrating and adjunct endovascular techniques to conservative treatments.

Half of the relatively young patients were not alive after ten years, although radiological success was claimed in more than nine out of ten cases.

The growing interest in early intervention for type B, and the advances in endovascular and hybrid solutions for aortic disease will rend this retrospective manuscript an interesting read.