when would a stanford type b require surgery
Aortic dissection The reason for surgical repair of type A dissections is that ascending aortic dissections often involve the aortic valve, which, having lost its suspensory support, telescopes down into the aortic root, resulting in aortic incompetence. The valve must be resuspended in order to be reseated, as well as to repair or prevent coronary artery injury. Also, the area of dissection is removed and replaced with a Dacron graft to prevent further dissection from occurring. However, type B dissections are not improved, from a mortality point of view, by the operation, unless leaking, rupture, or compromise to other organs, e.g. kidneys, occurs.
Mondino de Luzzi Mondino de Luzzi, or de Liuzzi or de Lucci,[2][3] (ca. 1270 – 1326), also known as Mundinus, was an Italian physician, anatomist and professor of surgery, who lived and worked in Bologna. He is often credited as the restorer of anatomy because he made seminal contributions to the field by reintroducing the practice of public dissection of human cadavers and writing the first modern anatomical text.[4][5]