1、The Therapy for Type BThoracic Aortic DissectionMedical Surgical Endovascular Clinical MaterialMale 74 Famale 4Age: 5573y Hypertension: 51CAD:4Chronic renal insufficiency : 4Diabetes mellitus 419902005Chronic pulmonary occlusion disease: 1978 casesAcute 34Chronic 44Clinical MaterialChest PainHeartre
2、nallung Symptoms (Short Breath)Pulse: Decreased （60%）BP : Normal or HighSymptoms & SignsDiagnosis Methods Echocardiogram (TTE&TEE)CTMRIAngiographySurgical Therapy （ 48 ）Medical Therapy （ 30 ）Local resection &patch 2Prosthetic vessel replacement 3Endovascular Stent 15Actue （17 ） Chronica （31 ）Prosthe
3、tic vessel replacement 14Endovascular Stent 1448Local resection & patch 0 0/2Prosthetic vessel replacement 3 2/14Endovascular Stent 0/14 0/15Emergency Selective AMI BleedingResults: operative mortality One stent 21Two stents 6Results: No operative deathComplications :Leak 2Three stents 1Rupture ：4/6Trachea：1Esophagus：1Chest ：2Late term death ：8Results: Medical Therapy mortality （ 30）Results: Long-term Prosthetic vessel replacement 12(17years ): Hoarse 3/5Death 2Endovascular Stent 29 (3mon.4years):No complications & death
