RT Book, Section
A1 Mery, Carlos M.
A1 Reece, T. Brett
A1 Kron, Irving L.
A2 Cohn, Lawrence H.
SR Print(0)
ID 55925470
T1 Chapter 50. Aortic Dissection
T2 Cardiac Surgery in the Adult, 4e
YR 2012
FD 2012
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-163310-9
LK accesssurgery.mhmedical.com/content.aspx?aid=55925470
RD 2024/04/19
AB Thoracic  aortic  dissection  occurs  when  an  intimal  tear  allows  redirection  of  blood  flow  from  the  aorta  (true  lumen)  through  the  intimal  defect  into  the  media  of  the  aortic  wall  (false  lumen).  A  dissection  plane  that  separates  the  intima  from  the  overlying  adventitia  forms  within  the  media.  The  acute  form  of  aortic  dissection  is  often  rapidly  lethal,  whereas  those  surviving  the  initial  event  go  on  to  develop  a  chronic  dissection  with  more  protean  manifestations.  The  purpose  of  this  chapter  is  to  review  the  etiology  and  pathogenesis  of  aortic  dissection,  examine  current  diagnostic  algorithms,  and  provide  detailed  descriptions  of  contemporary  surgical  techniques  for  treatment.  Additional  information  regarding  follow-up  and  the  subsequent  management  of  these  patients  is  presented  to  provide  a  comprehensive  understanding  of  a  clinical  entity  that  has  challenged  physicians  and  surgeons  for  centuries.