TY  - CHAP
M1  - Book, Section
TI  - Aortic Dissection
A1  - Cotarlan, Vlad
A1  - Austin, Joseph J.
A2  - Hall, Jesse B.
A2  - Schmidt, Gregory A.
A2  - Kress, John P.
Y1  - 2015
N1  - 
T2  - Principles of Critical Care, 4e
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.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/18
UR  - accessanesthesiology.mhmedical.com/content.aspx?aid=1107717879
ER  -