7: Aortic Dissection

Question 1

type I vs II aortic dissection names

Answer 1

Type I (A): Debakey
Type II (B): Stanford (more common)

Question 2

four RFs for younger pts aortic dissection

Answer 2

1. CT disorder (Marfans, Ehler’s Danlos)
2. Syphilis
3. Cocaine/meth
4. trauma

Question 3

signs/complications related to aortic dissection

Answer 3

1. Cardiac: MI, aortic regurg, BP asymmetry, syncope
2. neuro: CVA, ischemic neuropathy, paraplegia, horner syndrome
3. GI: mesenteric ischemia, GIB
4. pulm: hemothorax
5. renal: ARF
6. limbs: pulse deficit

Question 4

what type of management is more successful for a type A dissection

Answer 4

surgical management

Question 5

what type of management is more successful for a type B aortic dissection

Answer 5

endovascular, then medical)