Benjamin Jackson, MD, offers an overview of the presentation and characteristics of chronic Type B dissection, the rationale for therapy (prevention of further dilatation and/or delayed rupture) and the treatment approaches for these catastrophic events, including prophylaxis, open thoracoabdominal AA repair, and branched and fenestrated TEVAR. In assessing open surgery, Dr. Jackson describes the preoperative evaluation of patients, prevention of paraplegia and circulatory management as elements of surgery design and operative technique. His review of TEVAR involves a survey of technique, case profiles and investigational branched devices.
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