Abstract
The management of type B aortic dissection has continued to evolve over the last two decades. This progression has largely been driven by two realizations. First, the understanding that “acute” dissection is a misnomer; the acute process of aortic dissection has long-term chronic implications. Late aneurysmal degeneration leads to aorta-specific mortality. Secondly, improvements in stent graft design and procedure-specific advancements have made thoracic endovascular aortic repair (TEVAR) more and more safe since the operation was first described.
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