Optimal Treatment of Uncomplicated Type B Aortic Dissection: JACC Review Topic of the Week

J Am Coll Cardiol. 2019 Sep 17;74(11):1494-1504. doi: 10.1016/j.jacc.2019.07.063.


Historically, the gold standard for treating acute uncomplicated type B aortic dissection (TBAD) has been aggressive medical therapy to achieve optimal heart rate and blood pressure control. However, recent data have demonstrated that a significant proportion of patients with medically managed acute uncomplicated TBAD have late aorta-related complications, such as aneurysmal degeneration, that increase mortality and often necessitate surgical intervention. In this review, the authors review existing literature on uncomplicated TBAD and highlight contemporary surgical and medical strategies to manage this condition. Looking ahead, efforts are underway to identify and characterize a high-risk subgroup of acute uncomplicated TBAD patients who may benefit from early intervention.

Keywords: TEVAR; aortic; dissection; endovascular; surgery; vascular.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Algorithms
  • Aortic Aneurysm, Thoracic / classification
  • Aortic Aneurysm, Thoracic / complications
  • Aortic Aneurysm, Thoracic / therapy*
  • Aortic Dissection / classification
  • Aortic Dissection / complications
  • Aortic Dissection / therapy*
  • Humans