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Chronic Thoracic Aortic Dissection: How to Treat, When to Intervene
Panteleimon E Papakonstantinou1, Dimitra Benia2, Dimitrios Polyzos1
1Second Cardiology Department, Evangelismos Hospital, 106 76 Athens, Greece.
Life (Basel, Switzerland)
|October 27, 2022
Summary
Chronic thoracic aortic dissection (CTAD) management is challenging due to sparse data. This review summarizes current evidence and recommendations for CTAD diagnosis, surveillance, and treatment, including surgical and endovascular repair.
Area of Science:
- Cardiovascular Medicine
- Vascular Surgery
- Medical Imaging
Background:
- Thoracic aortic dissection (AD) significantly increases morbidity and mortality.
- While acute AD is well-managed, chronic thoracic AD (CTAD) in survivors is often overlooked.
- CTAD requires lifelong surveillance and may necessitate interventions for late complications.
Purpose of the Study:
- To review current evidence on the diagnosis and management of CTAD.
- To outline the latest recommendations for imaging surveillance in CTAD patients.
- To discuss surgical and endovascular repair strategies for CTAD.
Main Methods:
- Literature review of existing evidence on CTAD.
- Analysis of diagnostic imaging advancements for aortic diseases.
- Synthesis of current data on endovascular and surgical repair approaches.
Main Results:
- Data on CTAD management is limited, posing challenges for optimal therapy and intervention decisions.
- Recent advancements in diagnostic imaging have improved aortic disease assessment.
- Evidence on new endovascular and surgical techniques for CTAD is growing.
Conclusions:
- Effective management of CTAD requires addressing gaps in current knowledge and guidelines.
- Lifelong surveillance and timely intervention are crucial for CTAD patients.
- This review provides a comprehensive overview to guide clinical practice in CTAD.
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