Management of Acute Type B Aortic Dissection.

Key Points Management of Acute Type B Aortic Dissection Key risk factors for aortic dissection are hypertension and known genetic aortopathy. Thoracic endovascular aortic repair (TEVAR) has largely replaced open surgery for patients presenting with complications (rupture or malperfusion). Uncomplicated type B aortic dissection is treated medically with blood-pressure control. TEVAR or open repair is indicated if complications develop during follow-up. Serial imaging and lifelong surveillance are recommended for all patients who have had an aortic dissection.