Multispecialty involvement in the management of type B aortic dissections in the endovascular era-Implications for training cardiothoracic residents

Abstract

Endovascular technologies have resulted in significant changes as to which specialties manage complicated type B aortic dissections. Vascular surgeons, with both open and extensive endovascular training are optimally positioned to assume a major role in the care of aortic dissection patients. Continued emphasis on endovascular training and multispecialty collaboration is essential for cardiothoracic surgeons in the endovascular era.

Malperfusion following repair of a type I aortic dissection

“…Renal failure may occur in 18% of patients presenting with a type I aortic dissection . Although performing a frozen elephant trunk at the time of the initial repair may decrease the size and extent of the distal false lumen, malperfusion may still occur, which will require a multidisciplinary team of cardiac and vascular surgeons and interventional radiologists for the optimal management of this complication . We present images of a patient who developed acute renal failure following the repair of a type I dissection due to an expanding false lumen, which was successfully treated with thoracic endovascular stent replacement (TEVAR).…”