Management of Non-A Non-B Aortic Dissection: A Narrative Review

Non-A non-B aortic dissection remains a complex and controversial topic in cardiovascular management, eliciting varied approaches among cardiologists and surgeons. Due to the limited evidence surrounding this condition, existing guidelines are limited in the complexity of their recommendations. Whil...

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Main Authors: Joseph Kletzer, Stoyan Kondov, Aleksandar Dimov, Victoria Werdecker, Martin Czerny, Maximilian Kreibich, Tim Berger
Format: Article
Language:English
Published: MDPI AG 2024-12-01
Series:Journal of Cardiovascular Development and Disease
Subjects:
Online Access:https://www.mdpi.com/2308-3425/12/1/1
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author Joseph Kletzer
Stoyan Kondov
Aleksandar Dimov
Victoria Werdecker
Martin Czerny
Maximilian Kreibich
Tim Berger
author_facet Joseph Kletzer
Stoyan Kondov
Aleksandar Dimov
Victoria Werdecker
Martin Czerny
Maximilian Kreibich
Tim Berger
author_sort Joseph Kletzer
collection DOAJ
description Non-A non-B aortic dissection remains a complex and controversial topic in cardiovascular management, eliciting varied approaches among cardiologists and surgeons. Due to the limited evidence surrounding this condition, existing guidelines are limited in the complexity of their recommendations. While most patients are initially managed medically, invasive treatment becomes necessary in a large proportion of patients. When surgery is considered, the most utilized techniques include the frozen elephant trunk procedure and endovascular repair strategies targeting the arch and descending thoracic aorta. This narrative review aims to synthesize current knowledge and clinical experiences, highlighting the challenges and evolving practices related to non-A non-B dissection management.
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institution Kabale University
issn 2308-3425
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publishDate 2024-12-01
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series Journal of Cardiovascular Development and Disease
spelling doaj-art-c720234b77e4414288f54ff10bb00e502025-01-24T13:35:55ZengMDPI AGJournal of Cardiovascular Development and Disease2308-34252024-12-01121110.3390/jcdd12010001Management of Non-A Non-B Aortic Dissection: A Narrative ReviewJoseph Kletzer0Stoyan Kondov1Aleksandar Dimov2Victoria Werdecker3Martin Czerny4Maximilian Kreibich5Tim Berger6Department of Cardiovascular Surgery, University Hospital Freiburg Heart Centre, 79106 Freiburg, GermanyDepartment of Cardiovascular Surgery, University Hospital Freiburg Heart Centre, 79106 Freiburg, GermanyDepartment of Cardiovascular Surgery, University Hospital Freiburg Heart Centre, 79106 Freiburg, GermanyDepartment of Cardiovascular Surgery, University Hospital Freiburg Heart Centre, 79106 Freiburg, GermanyDepartment of Cardiovascular Surgery, University Hospital Freiburg Heart Centre, 79106 Freiburg, GermanyDepartment of Cardiovascular Surgery, University Hospital Freiburg Heart Centre, 79106 Freiburg, GermanyDepartment of Cardiovascular Surgery, University Hospital Freiburg Heart Centre, 79106 Freiburg, GermanyNon-A non-B aortic dissection remains a complex and controversial topic in cardiovascular management, eliciting varied approaches among cardiologists and surgeons. Due to the limited evidence surrounding this condition, existing guidelines are limited in the complexity of their recommendations. While most patients are initially managed medically, invasive treatment becomes necessary in a large proportion of patients. When surgery is considered, the most utilized techniques include the frozen elephant trunk procedure and endovascular repair strategies targeting the arch and descending thoracic aorta. This narrative review aims to synthesize current knowledge and clinical experiences, highlighting the challenges and evolving practices related to non-A non-B dissection management.https://www.mdpi.com/2308-3425/12/1/1aortic dissectionnon-a non-b dissectiontevaropen-surgery
spellingShingle Joseph Kletzer
Stoyan Kondov
Aleksandar Dimov
Victoria Werdecker
Martin Czerny
Maximilian Kreibich
Tim Berger
Management of Non-A Non-B Aortic Dissection: A Narrative Review
Journal of Cardiovascular Development and Disease
aortic dissection
non-a non-b dissection
tevar
open-surgery
title Management of Non-A Non-B Aortic Dissection: A Narrative Review
title_full Management of Non-A Non-B Aortic Dissection: A Narrative Review
title_fullStr Management of Non-A Non-B Aortic Dissection: A Narrative Review
title_full_unstemmed Management of Non-A Non-B Aortic Dissection: A Narrative Review
title_short Management of Non-A Non-B Aortic Dissection: A Narrative Review
title_sort management of non a non b aortic dissection a narrative review
topic aortic dissection
non-a non-b dissection
tevar
open-surgery
url https://www.mdpi.com/2308-3425/12/1/1
work_keys_str_mv AT josephkletzer managementofnonanonbaorticdissectionanarrativereview
AT stoyankondov managementofnonanonbaorticdissectionanarrativereview
AT aleksandardimov managementofnonanonbaorticdissectionanarrativereview
AT victoriawerdecker managementofnonanonbaorticdissectionanarrativereview
AT martinczerny managementofnonanonbaorticdissectionanarrativereview
AT maximiliankreibich managementofnonanonbaorticdissectionanarrativereview
AT timberger managementofnonanonbaorticdissectionanarrativereview