RT Book, Section
A1 Cotarlan, Vlad
A1 Austin, Joseph J.
A2 Hall, Jesse B.
A2 Schmidt, Gregory A.
A2 Kress, John P.
SR Print(0)
ID 1107717879
T1 Aortic Dissection
T2 Principles of Critical Care, 4e
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 9780071738811
LK accesssurgery.mhmedical.com/content.aspx?aid=1107717879
RD 2024/04/19
AB Potentially  the  most  important  diagnosis  with  highest  life-saving  capability  in  medicine.Challenging  diagnosis  requiring  high  clinical  suspicion  and  quick,  efficient  use  of  diagnostic  modalities.Clinically,  the  typical  pain,  incongruous  poor  tissue  perfusion  despite  hypertension,  and/or  evidence  of  aortic  branch  occlusion  suggest  the  diagnosis.Emergent  control/support  of  blood  pressure  and  pain  is  imperative.Investigation  with  urgent  CT  angiogram  or  TEE  to  confirm  diagnosis  and  complications.Categorize  as  type  A  (ascending  aorta  involved)  versus  type  B  (only  descending  aorta  involved)  to  direct  definitive  treatment.Type  A  requires  emergency  cardiac  surgical  repair.Type  B  managed  with  emergency  medical  management  versus  endostenting  or  surgery  if  complicated.Long-term  strict  control  of  hypertension  and  surveillance  important  to  identify  need  for  late  intervention  and  maximize  long-term  survival.