A 43-Year Old Man with Complicated Stanford Type B Acute Aortic Dissection

Acute aortic dissection is a time-sensitive and rapidly fatal disease if left untreated, being early diagnosis and treatment decisive for survival. Although dissection of the ascending aorta requires immediate surgical attention, therapeutic strategies in case of Stanford type B acute descending aortic dissection may vary. Medical management is recommended for uncomplicated stable dissections while endovascular or surgical repair is indicated for the dissections complicated by rupture, malperfusion syndromes, refractory pain or rapid aortic expansion. We reported a rare case of a rapidly complicated Stanford type B aortic dissection associated with intramural aortic hematoma occurred in a 43-year old man from Apulia region of Southern Italy which was successfully submitted to endovascular stent graft placement and subsequently 12-months follow-up. We also indicated the need for early multidisciplinary assessment including acute classification having clinically relevant implications for subsequent management.