Aortic dissection

Definition- Tunica media and adventitia form false lumen

Acute- <14 days


1.Stanford- Type A(Ascending aorta, ⅔ ), Type B(Not involve ascending aorta, ⅓ )

2.Debakey- Tpe I(Ascending and descending), Type II(Ascending), Type III(Descending)

Etiology- HTN, Marfan, Artherosclerosis, CoA, trauma, Pregnancy 3rd trimester

Presentation- Chest tearing pain, back pain, diaphoresis, dyspnea

Complication- Coronary(AMI), Aortic valve(HF), CCA(stroke), Vertebral artery(paraplegia), Renal artery(AKI), iliac artery(Lower limb numbness), Cardiac tamponade(Beck’s triad, pulsus paradoxus, Kussmaul’s sign)

X-ray- Mediastinum wideing


1.Acute Type A- Surgery

2.Acute Type B- Complicated(Surgery), Uncomplicated(Anti-impulse therapy)

3.Chronic Type A and B- Anti-impulse therapy(If>5 cm surgery)

*Anti-impulse therapy- Esmolol + Nitroprusside, Control HR60~80, SBP120, MAP80

Published by Steve Johnson

I am a doctor who like to organise knowledges and share ideas with others. As a doctor, a lot of knowledges influx everyday and need some patient to organise and absorb. Here was my notes to share with you and hope to save your time to know it.

Leave a comment

Fill in your details below or click an icon to log in: Logo

You are commenting using your account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s

%d bloggers like this: