Management of Type B Aortic Dissection: Takeaways from the STS/AATS Guideline (March 17, 2022)
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- čas přidán 17. 03. 2022
- In this episode of the STS Webinar Series, a panel comprising several coauthors of the STS/AATS Clinical Practice Guideline on the Management of Type B Aortic Dissection discuss the key takeaways from this comprehensive, up-to-date summary of the state of the evidence. Discussion topics include: optimal medical therapy as the recommended treatment for patients with uncomplicated TBAD; thoracic endovascular aortic repair for patients with complicated hyperacute, acute, or subacute TBADs and favorable anatomy; and conditions under which open surgical repair is the preferred treatment option, including for patients with connective tissue disorders. Participants include Edward P. Chen, MD, Thomas G. Gleason, MD, Dawn S. Hui, MD, Thomas E. MacGillivray, MD (moderator), and Himanshu J. Patel, MD.
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3years ago today Survived a Type A Dissection. Spent a month in the hospital. My whole Aorta is dissected and my decending Aorta is 5.1. Go in Jan 22 for a CT scan for any increase in size.
God bless you! 🙏
Are you still answering questions regarding type b dissection?
Survived Type B Aortic Dissection 11 years ago. I'm still here otherwise I wouldn't be leaving this comment.
have you been pushed for surgery over the years recently?? what size is your aorta?? I have type B dissection and 4.6 uncomplicated
@@kash6175 I've not been pushed for any followup surgery. A stent was put in while I was in a medically induced coma. I have yearly CT scans and see my vascular surgeon twice a year. I'm not exactly sure how large my Aorta is but at a scan, at a hospital unfamiliar with my case, they said it was twice the size of normal. They waited for copies of previous scans to make certain there were no changes. I do have ongoing symptoms but that can't be helped. I was 48 years old I had mine.
@The Flat-U-Lator thanks for your info.
I will see a vascular surgeon in two weeks
My hunch is ur having twice is 5.5cm or greater.
You are doing great managing it.
Anyhow, your survival gives me hope as they have so many limitations on me.
Thanks
@@kash6175 The road to full recovery takes time and you'll be fine. Here in Australia they have a minimalist response rather than invasive surgery. I had a stent inserted, via femoral artery, which wraps around the entire arch. Mine dissected from the top of the arch and continued down to where the aorta branches off into my legs. I take five medications in the morning, one at midday and two more at night. I don't over exert myself much either. I did find working difficult and as a result gave it up five years ago. Thankfully my wife has a well paid job because I cannot officially retire for five more years. Follow your doctors advice and be aware of changes. What country are you in?
@The Flat-U-Lator I am in usa.
My dissection stabilized after 15 months zero growth.
These vascular folks operate at 5.5cm and are now encouraging at 5.0. I am reluctant and will see two top vascular surgeons for advice.
Curious what beta blockers do you take.?
Is your BP and heart Rate tightly controlled?
My hope is to live out my life to say 70 to 75 without surgery
I have a Chronic aortic dissection. Yay me