Thoracic Aorta Dissection

Question 1

what is thoracic aorta dissection?

Answer 1

split in the artery wall causing blood to pool

Question 2

classification systems for thoracic aorta dissection

Answer 2

Stanford

DeBakey

Question 3

Stanford classification of thoracic aorta dissection

Answer 3

1. type A= ascending aorta

2. type B= ascending aorta not involved, arch +/- descending

Question 4

management of type A

Answer 4

urgent surgery with replacement of affected aorta using cardiopulmonary bypass

Question 5

management of type B

Answer 5

may just need medical management of hypertension

may require surgery with graft if distal ischaemia

Question 6

which type of thoracic aorta dissection has better prognosis?

Answer 6

type B

Question 7

major RF for thoracic artery dissection

Answer 7

chronic hypertension

Question 8

MI in combination with dissection?

Answer 8

fatal if thrombolysis carried out

Question 9

diagnosis

Answer 9

CT

echo

Question 10

management

Answer 10

surgery if type A
medical if type B

hypotensive, TOE, CT, ECG, CXR, bloods