Copyright
©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Hypertens. May 23, 2015; 5(2): 79-84
Published online May 23, 2015. doi: 10.5494/wjh.v5.i2.79
Published online May 23, 2015. doi: 10.5494/wjh.v5.i2.79
Diagnosis and management of thoracic aortic dissection: An update
Ruth A Benson, Ben O Patterson, Ian M Loftus, St George’s Vascular Institute, St George’s Healthcare NHS Trust, London SW170 QT, United Kingdom
Author contributions: Benson RA, Patterson BO and Loftus IM contributed to this paper.
Conflict-of-interest: None declared.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Ruth A Benson, BSc, MBChB, MRCS, Vascular Research Fellow, St George’s Vascular Institute, St George’s Healthcare NHS Trust, Blackshaw Road, London SW170 QT, United Kingdom. ruth.benson@gmail.com
Telephone: +44-20-87253205 Fax: +44-20-87253495
Received: September 29, 2014
Peer-review started: October 1, 2014
First decision: October 28, 2014
Revised: November 11, 2014
Accepted: February 4, 2015
Article in press: February 6, 2015
Published online: May 23, 2015
Peer-review started: October 1, 2014
First decision: October 28, 2014
Revised: November 11, 2014
Accepted: February 4, 2015
Article in press: February 6, 2015
Published online: May 23, 2015
Core Tip
Core tip: Aortic dissection remains the most common aortic emergency, affecting up to 4 per 100000 people per year in the United Kingdom and United States. Surgical management is indicated in dissection complicated by uncontrolled pain and hypertension, end-organ malperfusion and aneurysmal dilatation with risk of rupture. This update discusses results of thoracic stenting from more recently published prospective international registries, including risks and benefits to treated patients affected by this incredibly high risk condition.