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Type B aortic dissection, clinical features, and indication for surgery 

Type B aortic dissection, clinical features, and indication for surgery
Chapter:
Type B aortic dissection, clinical features, and indication for surgery
Author(s):

Ian M. Nordon

DOI:
10.1093/med/9780199658220.003.0060
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date: 19 September 2019

Acute aortic dissection is the commonest life-threatening event involving the aorta. The diagnosis should always be considered when presented with a hypertensive patient with severe chest pain. Modern imaging modalities with rapid access to cross-sectional techniques have increased the frequency of diagnosis of type B dissection. This chapter describes the optimal management of acute type B dissection, from diagnosis, through primary medical management, planning surgical intervention, optimal anaesthesia and monitoring, to the final decision to offer surgical treatment. The mainstay of treatment for type B dissection is currently strict blood pressure control. However, when the dissection becomes complicated or the patient develops signs of impending rupture, surgical or endovascular intervention may be required.

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