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World J Cardiol. May 26, 2023; 15(5): 244-252
Published online May 26, 2023. doi: 10.4330/wjc.v15.i5.244
Current knowledge and contemporary management of non-A non-B aortic dissections
Konstantinos C Christodoulou, Dimos Karangelis, Gioultzan Memet Efenti, Panagiotis Sdrevanos, Jennifer R Browning, Fotis Konstantinou, Efstratios Georgakarakos, Fotios A Mitropoulos, Dimitrios Mikroulis
Konstantinos C Christodoulou, Dimos Karangelis, Jennifer R Browning, Fotis Konstantinou, Dimitrios Mikroulis, Department of Cardiac Surgery, Democritus University of Thrace, University Hospital of Alexandroupolis, Alexandroupolis 68100, Greece
Gioultzan Memet Efenti, Department of Surgery, Didimotichon General Hospital, Didimotichon 68300, Greece
Panagiotis Sdrevanos, Cardioiasis Cardiology Clinic, Xanthi 67100, Greece
Efstratios Georgakarakos, Department of Vascular Surgery, University Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis 68100, Greece
Fotios A Mitropoulos, Department of Cardiac Surgery, Mitera Hospital, Athens 15123, Greece
Author contributions: Christodoulou KC wrote the manuscript; Karangelis D contributed to manuscript review and supervised the entire project; Efenti GM, Sdrevanos P, and Georgakarakos E contributed with bibliographic research and proofread the manuscript; Browning JR was responsible for the English language editing of the manuscript; Konstantinou F provided the accompanying figures; Mitropoulos FA and Mikroulis D designed the outline and coordinated the writing of the paper; and all authors have read and approved the final manuscript.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (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: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Dimos Karangelis, MD, PhD, Assistant Professor, Department of Cardiac Surgery, Democritus University of Thrace, University Hospital of Alexandroupolis, 6th km. Alexandroupolis-Makris, Dragana, Alexandroupolis 68100, Greece. dimoskaragel@yahoo.gr
Received: February 11, 2023
Peer-review started: February 11, 2023
First decision: March 28, 2023
Revised: April 10, 2023
Accepted: April 25, 2023
Article in press: April 25, 2023
Published online: May 26, 2023
Processing time: 96 Days and 20.7 Hours
Core Tip

Core Tip: The available treatment options in the surgical armamentarium are conventional open surgery with standard aortic arch replacement or frozen elephant trunk (FET), interventional therapies such as the thoracic endovascular aortic repair (TEVAR) and hybrid techniques combining TEVAR with debranching of the supra-aortic vessels. In the case of a favorable arch anatomy, TEVAR is the preferable treatment option. Alternatively, when the entry tear is located in the proximal segment of the aortic arch, a hybrid arch repair, aortic arch replacement or even FET should be given thorough consideration.