TY  - CHAP
M1  - Book, Section
TI  - Aortic Dissection 
A1  - Cotarlan, Vlad
A1  - Panza, Antonio
A2  - Schmidt, Gregory A.
A2  - Kress, John P.
A2  - Douglas, Ivor S.
PY  - 2023
T2  - Hall, Schmidt and Wood’s Principles of Critical Care, 5<sup>th</sup> Edition
AB  - KEY  POINTSTimely  diagnosis  of  aortic  dissection  has  more  life-saving  potential  than  almost  any  other  diagnosis  in  medicine.Diagnosis  can  be  difficult,  requiring  high  clinical  suspicion  and  quick,  efficient  use  of  diagnostic  modalities.Clinical  clues  are  the  typical  pain,  incongruous  poor  tissue  perfusion  despite  hypertension,  or  evidence  of  aortic  branch  occlusion.Emergent  control  or  support  of  blood  pressure  and  pain  is  imperative.Urgent  CT  angiogram  or  transesophageal  echocardiography  are  preferred  means  to  confirm  the  diagnosis  and  detect  complications.Distinguishing  type  A  (ascending  aorta  involved)  versus  type  B  (only  descending  aorta  involved)  guides  definitive  treatment.Type  A  dissection  requires  emergency  cardiac  surgical  repair.Uncomplicated  type  B  dissection  is  managed  medically.Complicated  type  B  dissection  is  usually  managed  with  endostenting:  surgery  is  rarely  performed.Long-term  surveillance  and  strict  control  of  hypertension  are  important  to  identify  the  need  for  late  intervention  and  maximize  long-term  survival.  
SN  - 
PB  - McGraw Hill
CY  - New York, NY
Y2  - 2024/09/11
UR  - accessanesthesiology.mhmedical.com/content.aspx?aid=1201802193
ER  -