ArticleJournal of vascular surgery cases and innovative techniques2026
Favorable aortic remodeling following type B aortic dissection in a patient with osteogenesis imperfecta.
Article in Journal of vascular surgery cases and innovative techniques, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Osteogenesis imperfecta is a heritable type I collagen disorder, with aortic dissection a recognized complication. A 69-year-old man with osteogenesis imperfecta presented with acute uncomplicated type B aortic dissection with a thrombosed false lumen, managed with anti-impulse therapy targeting systolic blood pressure < 120 mm Hg and heart rate < 70 beats/min. Despite an ulcer-like projection and 4.2 cm proximal descending aortic diameter, serial imaging demonstrated complete resolution with optimal medical therapy by 6 months and reduction to 3.2 cm at 12 months. This favorable remodeling is notable given the underlying collagen disorder, where tissue fragility raises concerns about impaired healing and aortic integrity.
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