Diagnosis and management of acute type A aortic dissection.

  title={Diagnosis and management of acute type A aortic dissection.},
  author={George L Hines and Cristina Dracea and Douglas S. Katz},
  journal={Cardiology in review},
  volume={19 5},
Acute aortic dissection (AAD) is the most common aortic catastrophe. The mortality rate of type A dissection approaches 40% to 50% in 48 hours. Causes of death include rupture, aortic insufficiency, or malperfusion involving the coronary arteries, head vessels, visceral arteries, and lower extremities. Other acute aortic conditions can be confused with AAD. Emergent surgery is usually recommended, although there are some situations in which initial management of malperfusion or conservative… CONTINUE READING


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