Purpose of review
Type B aortic dissection
is a relatively uncommon and multifaceted disease, whose management
is ongoing debated. Its wide range of clinical presentations and anatomical features hamper the early identification and medical management
. In the past few years, the introduction of endovascular techniques opened new paradigms in comprehension and management
of aortic diseases. Aim of this review is to discuss contemporary therapeutic approaches of acute type B aortic dissections highlighting the growing role of thoracic endovascular aortic repair
(TEVAR) in focusing its complex physiopathology.
Prompt medical therapy followed by endovascular repair should be considered as the gold standard in complicated acute type B aortic dissection
. Moreover, recent findings also suggest a potential benefit in case of uncomplicated cases.
of acute type B aortic dissection
is progressively shifting into endovascular approach. However, further studies are warranted to define the optimal treatment strategy in each subset of patients and anatomical features.