Stanford-Typ-B-Dissektion

The diagnostic and therapeutic options in the context of Stanford type B aortic dissection (TBAD) have further evolved over the past three decades. A genetic clarification should be carried out in patients under 40 years old in order to exclude connective tissue disorders. The gold standard for the diagnostics and treatment planning of TBAD is the electrocardiograph (ECG)-triggered thin-slice computed tomography angiography (CTA). Acute complicated dissections warrant expeditious endovascular treatment. In addition to thoracic endovascular aortic repair (TEVAR) other procedures, such as provisional extension to induce complete attachment (PETTICOAT) or membrane fenestration can be used. Even patients with uncomplicated dissections in the subacute interval and the presence of predictors of progression appear to benefit from endovascular treatment. Lifelong follow-up is imperative for all patients independent of the initial treatment regimen. Patients with a TBAD should be transferred to an aortic center.