Uncomplicated Type B Aortic Dissection: Challenges in Diagnosis and Categorization
Background: Acute type B aortic dissection (TBAD) is a rare disease that is likely under-diagnosed in the UK. As a progressive, dynamic clinical entity, many patients initially diagnosed with uncomplicated TBAD deteriorate, developing end-organ malperfusion and aortic rupture (complicated TBAD). An...
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th-mahidol.829172023-06-03T00:17:44Z Uncomplicated Type B Aortic Dissection: Challenges in Diagnosis and Categorization Bashir M. Mahidol University Medicine Background: Acute type B aortic dissection (TBAD) is a rare disease that is likely under-diagnosed in the UK. As a progressive, dynamic clinical entity, many patients initially diagnosed with uncomplicated TBAD deteriorate, developing end-organ malperfusion and aortic rupture (complicated TBAD). An evaluation of the binary approach to the diagnosis and categorisation of TBAD is needed. Methods: A narrative review of the risk factors predisposing patients to progression from unTBAD to coTBAD was undertaken. Results: Key high-risk features predispose the development of complicated TBAD, such as maximal aortic diameter > 40 mm and partial false lumen thrombosis. Conclusion: An appreciation of the factors that predispose to complicated TBAD would aid clinical decision-making surrounding TBAD. 2023-06-02T17:17:43Z 2023-06-02T17:17:43Z 2023-01-01 Article Annals of Vascular Surgery (2023) 10.1016/j.avsg.2023.04.006 16155947 08905096 37075834 2-s2.0-85160104015 https://repository.li.mahidol.ac.th/handle/123456789/82917 SCOPUS |
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Mahidol University |
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Mahidol University Library |
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Asia |
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Thailand Thailand |
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Mahidol University Institutional Repository |
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Medicine |
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Medicine Bashir M. Uncomplicated Type B Aortic Dissection: Challenges in Diagnosis and Categorization |
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Background: Acute type B aortic dissection (TBAD) is a rare disease that is likely under-diagnosed in the UK. As a progressive, dynamic clinical entity, many patients initially diagnosed with uncomplicated TBAD deteriorate, developing end-organ malperfusion and aortic rupture (complicated TBAD). An evaluation of the binary approach to the diagnosis and categorisation of TBAD is needed. Methods: A narrative review of the risk factors predisposing patients to progression from unTBAD to coTBAD was undertaken. Results: Key high-risk features predispose the development of complicated TBAD, such as maximal aortic diameter > 40 mm and partial false lumen thrombosis. Conclusion: An appreciation of the factors that predispose to complicated TBAD would aid clinical decision-making surrounding TBAD. |
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Mahidol University |
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Mahidol University Bashir M. |
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Article |
| author |
Bashir M. |
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Bashir M. |
| title |
Uncomplicated Type B Aortic Dissection: Challenges in Diagnosis and Categorization |
| title_short |
Uncomplicated Type B Aortic Dissection: Challenges in Diagnosis and Categorization |
| title_full |
Uncomplicated Type B Aortic Dissection: Challenges in Diagnosis and Categorization |
| title_fullStr |
Uncomplicated Type B Aortic Dissection: Challenges in Diagnosis and Categorization |
| title_full_unstemmed |
Uncomplicated Type B Aortic Dissection: Challenges in Diagnosis and Categorization |
| title_sort |
uncomplicated type b aortic dissection: challenges in diagnosis and categorization |
| publishDate |
2023 |
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https://repository.li.mahidol.ac.th/handle/123456789/82917 |
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1781415101535879168 |