DISEASES OF THE AORTA, PULMONARY AND PERIPHERAL VESSELSNew paradigms in the management of acute type B aortic dissectionParisi, Rosario; Secco, Gioel Gabrio; Fattori, RossellaAuthor Information Cardiology and Interventional Cardiology Unit, Ospedali Riuniti Marche Nord, Pesaro, Italy Correspondence to Rossella Fattori, MD, Cardiology and Interventional Cardiology Unit, Ospedali Riuniti Marche Nord Piazzale Cinelli 1, Pesaro 61121, Italy. Tel: +390721362244; fax: +390721362292; e-mail: [email protected] Current Opinion in Cardiology: November 2015 - Volume 30 - Issue 6 - p 559-565 doi: 10.1097/HCO.0000000000000215 Buy Metrics Abstract 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. Recent findings 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. Summary Management 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. Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved.