Kletzer Joseph, Kondov Stoyan, Dimov Aleksandar, Werdecker Victoria, Czerny Martin, Kreibich Maximilian, Berger Tim
Department of Cardiovascular Surgery, University Hospital Freiburg Heart Centre, 79106 Freiburg, Germany.
Faculty of Medicine, University of Freiburg, 79085 Freiburg, Germany.
J Cardiovasc Dev Dis. 2024 Dec 24;12(1):1. doi: 10.3390/jcdd12010001.
Non-A non-B aortic dissection remains a complex and controversial topic in cardiovascular management, eliciting varied approaches among cardiologists and surgeons. Due to the limited evidence surrounding this condition, existing guidelines are limited in the complexity of their recommendations. While most patients are initially managed medically, invasive treatment becomes necessary in a large proportion of patients. When surgery is considered, the most utilized techniques include the frozen elephant trunk procedure and endovascular repair strategies targeting the arch and descending thoracic aorta. This narrative review aims to synthesize current knowledge and clinical experiences, highlighting the challenges and evolving practices related to non-A non-B dissection management.
非A非B型主动脉夹层在心血管疾病管理中仍然是一个复杂且有争议的话题，引发了心脏病专家和外科医生的不同处理方法。由于围绕这种疾病的证据有限，现有指南的建议复杂性也受到限制。虽然大多数患者最初采用药物治疗，但很大一部分患者仍需要进行侵入性治疗。当考虑手术时，最常用的技术包括冰冻象鼻手术以及针对主动脉弓和降主动脉的血管内修复策略。本叙述性综述旨在综合当前的知识和临床经验，突出与非A非B型夹层处理相关的挑战和不断演变的实践。
