Aortic Disease

Question 1

Medical Management of Aortic Dissection…

Answer 1

Patient presents with severe chest pain that radiates to the back + hypertension

1. Beta blockers + EKG + CXR
2. Nitropruside
3. Move clock forward and order CT angiogrpahy, or TEE, or MRA. (all are equally accurate)
4. ICU placement + surgical consult.

Question 2

When to repair aortic aneurism?

who gets screened?

Answer 2

> 5cm

Men former/current smoker 65-75yo.