Division of Vascular and Endovascular Surgery, Department of Surgery, Cooper University Hospital, Camden, New Jersey.
Division of Cardiovascular and Thoracic Surgery, Duke University Medical Center, Durham, North Carolina.
Ann Thorac Surg. 2020 Mar;109(3):959-981. doi: 10.1016/j.athoracsur.2019.10.005. Epub 2020 Jan 27.
This Society for Vascular Surgery/Society of Thoracic Surgeons (SVS/STS) document illustrates and defines the overall nomenclature associated with type B aortic dissection. The contents describe a new classification system for practical use and reporting that includes the aortic arch. Chronicity of aortic dissection is also defined along with nomenclature in patients with prior aortic repair and other aortic pathologic processes, such as intramural hematoma and penetrating atherosclerotic ulcer. Complicated vs uncomplicated dissections are clearly defined with a new high-risk grouping that will undoubtedly grow in reporting and controversy. Follow-up criteria are also discussed with nomenclature for false lumen status in addition to measurement criteria and definitions of aortic remodeling. Overall, the document provides a facile framework of language that will allow more granular discussions and reporting of aortic dissection in the future.
本血管外科学会/胸外科学会(SVS/STS)文件阐述并定义了与 B 型主动脉夹层相关的整体命名。内容描述了一种新的分类系统,用于实际使用和报告,包括主动脉弓。还定义了主动脉夹层的慢性期以及既往主动脉修复和其他主动脉病理过程(如壁内血肿和穿透性动脉粥样硬化性溃疡)的命名。复杂型与非复杂型夹层的定义明确,并新增了高危分组,这无疑将在报告和争议中不断增加。还讨论了随访标准,并对假腔状态的命名进行了描述,此外还包括了测量标准和主动脉重塑的定义。总体而言,该文件提供了一个方便的语言框架,将允许未来更细致地讨论和报告主动脉夹层。