Conservative treatment of uncomplicated type B aortic dissection is associated with low short-term mortality. However long-term mortality and complication rates are high, suggesting the need for more aggressive treatment. Studies suggest that combining medical treatment with thoracic endovascular aortic repair (TEVAR) is associated with a better prognosis. TEVAR is not without risk, however, and it is paramount to identify characteristics of risk and benefit as summarised in this review. Further studies are needed in order to implement improved patient selection.

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