Society for Vascular Surgery (SVS) and Society of Thoracic Surgeons (STS) reporting standards for type B aortic dissections

Joseph V Lombardi; G Chad Hughes; Jehangir J Appoo; Joseph E Bavaria; Adam W Beck; Richard P Cambria; Kristofer Charlton-Ouw; Mohammad H Eslami; Karen M Kim; Bradley G Leshnower; Thomas Maldonado; T Brett Reece; Grace J Wang

doi:10.1016/j.jvs.2019.11.013

Society for Vascular Surgery (SVS) and Society of Thoracic Surgeons (STS) reporting standards for type B aortic dissections

J Vasc Surg. 2020 Mar;71(3):723-747. doi: 10.1016/j.jvs.2019.11.013. Epub 2020 Jan 27.

Authors

Affiliations

¹ Division of Vascular and Endovascular Surgery, Department of Surgery, Cooper University Hospital, Camden, NJ. Electronic address: [email protected].
² Division of Cardiovascular and Thoracic Surgery, Duke University Medical Center, Durham, NC.
³ Division of Cardiac Surgery, Libin Cardiovascular Institute, Foothills Medical Centre, Calgary, Alberta, Canada.
⁴ Division of Cardiovascular Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pa.
⁵ Division of Vascular Surgery and Endovascular Therapy, University of Alabama at Birmingham, Birmingham, Ala.
⁶ Division of Vascular and Endovascular Surgery, St. Elizabeth's Medical Center, Brighton, Mass.
⁷ Department of Cardiothoracic and Vascular Surgery, University of Texas Health Science Center at Houston, Houston, Tex.
⁸ Division of Vascular Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pa.
⁹ Department of Cardiac Surgery, University of Michigan, Ann Arbor, Mich.
¹⁰ Division of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, Ga.
¹¹ Division of Vascular Surgery, New York University Medical Center, New York, NY.
¹² Department of Surgery, Division of Cardiothoracic, University of Colorado, Denver, Colo.

PMID: 32001058
DOI: 10.1016/j.jvs.2019.11.013

Abstract

This Society for Vascular Surgery/Society of Thoracic Surgeons (SVS/STS) document illustrates and defines the overall nomenclature associated with type B aortic dissection. The contents describe a new classification system for practical use and reporting that includes the aortic arch. Chronicity of aortic dissection is also defined along with nomenclature in patients with prior aortic repair and other aortic pathologic processes, such as intramural hematoma and penetrating atherosclerotic ulcer. Complicated vs uncomplicated dissections are clearly defined with a new high-risk grouping that will undoubtedly grow in reporting and controversy. Follow-up criteria are also discussed with nomenclature for false lumen status in addition to measurement criteria and definitions of aortic remodeling. Overall, the document provides a facile framework of language that will allow more granular discussions and reporting of aortic dissection in the future.

Keywords: Aorta; Aortic dissection; Classification; Dissection; Reporting; Type B.

Publication types

Practice Guideline

MeSH terms

Aortic Aneurysm, Thoracic / classification*
Aortic Aneurysm, Thoracic / diagnostic imaging*
Aortic Aneurysm, Thoracic / surgery*
Aortic Dissection / classification*
Aortic Dissection / diagnostic imaging*
Aortic Dissection / surgery*
Documentation / standards*
Humans
United States
Vascular Surgical Procedures*