Article Abstract

Chronic type B “residual” after type A: what I would do?

Authors: Martin Czerny, Maximilian Kreibich, Julia Morlock, Stoyan Kondov, Johannes Scheumann, Holger Schröfel, Fabian A. Kari, Tim Berger, Matthias Siepe, Friedhelm Beyersdorf, Bartosz Rylski


The major goal of surgery for acute type A aortic dissection is to have an alive patient.” This motto still remains the most important directive. However, also depending onto the extent of the underlying pathology and consecutively depending onto the extent of primary surgery, there is and will be need for additional classical surgical or interventional treatment sooner or later during follow-up in a substantial number of patients having had surgery for acute type A aortic dissection. This article shall guide the interested reader through the underlying mechanisms as well as treatment options in patients with chronic type B “residual” after type A repair and shall finally suggest preventive strategies to reduce the occurrence of this pathology to a minimum.


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