[Pre- and postoperative imaging of type B aortic dissection].
Fiche publication
Date publication
juillet 2016
Journal
Journal des maladies vasculaires
Auteurs
Membres identifiés du Cancéropôle Est :
Pr ROY Catherine, Pr OHANA Mickaël
Tous les auteurs :
Ohana M, Labani A, Georg Y, Jeung MY, Thaveau F, Schwein A, Karmonik C, Bismuth J, Chakfé N, Roy C
Lien Pubmed
Résumé
Type B aortic dissections are serious diseases with a 60 to 80 % 5-year survival rate. Although typically managed with a medical treatment, surgery may be necessary in the acute/subacute or the chronic phase if significant complications are encountered. For these patients, CT angiography is the first-line imaging modality, used for indicating and preparing the surgical procedure as well as for follow-up. Physicians in charge of these patients should be familiar with the key reading points. Visceral malperfusion is the most common acute complication, while aneurysmal dilatation of the false lumen is the most common chronic complication, with surgical management generally indicated when the axial diameter of the aorta exceeds 55mm. Endovascular treatment tends to replace open surgery: it requires precise measurements and identification of the entry tear (contribution of 4D-MRA).
Référence
J Mal Vasc. 2016 Jul;41(4):260-71