Current knowledge and contemporary management of non-A non-B aortic dissections  

作　　者：Konstantinos C Christodoulou Dimos Karangelis Gioultzan Memet Efenti Panagiotis Sdrevanos Jennifer R Browning Fotis Konstantinou Efstratios Georgakarakos Fotios A Mitropoulos Dimitrios Mikroulis 

机构地区：[1]Department of Cardiac Surgery,Democritus University of Thrace,University Hospital of Alexandroupolis,Alexandroupolis 68100,Greece [2]Department of Surgery,Didimotichon General Hospital,Didimotichon 68300,Greece [3]Cardioiasis Cardiology Clinic,Xanthi 67100,Greece [4]Department of Vascular Surgery,University Hospital of Alexandroupolis,Democritus University of Thrace,Alexandroupolis 68100,Greece [5]Department of Cardiac Surgery,Mitera Hospital,Athens 15123,Greece

出　　处：《World Journal of Cardiology》2023年第5期244-252,共9页世界心脏病学杂志（英文版）（电子版）

摘　　要：Non-A non-B aortic dissection(AAD)is an infrequently documented condition,comprising of only a small proportion of all AADs.The unique anatomy of the aortic arch and the failure of the existing classifications to adequately define individuals with non-A non-B AAD,have led to an ongoing controversy around the topic.It seems that the clinical progression of acute non-A non-B AAD diverges from the typical type A and B dissections,frequently leading to serious complications and thus mandating early intervention.Currently,the available treatment methods in the surgical armamentarium are conventional open,endovascular techniques and combined hybrid methods.The optimum approach is tailored in every individual case and may be determined by the dissection’s location,extent,the aortic diameter,the associated complications and the patient’s status.The management of non-A non-B dissections still remains challenging and a unanimous consensus defining the gold standard treatment has yet to be reached.In an attempt to provide further insight into this perplexing entity,we performed a minireview of the literature,aiming to elucidate the epidemiology,clinical course and the optimal treatment modality.

关 键 词：Aortic dissection Aortic disease Aortic surgery Thoracic aorta disease Aortic arch dissection 

分 类 号：R543.1[医药卫生—心血管疾病]