Aortic dissection

Question 1

what’s the biggest risk factor for aortic dissection?

Answer 1

Question 2

what two conditions that affect connective tissues can increase the risk of aortic dissection?

Answer 2

Question 3

what description is usually given by people presenting with aortic dissection?

Answer 3

Question 4

how is aortic dissection diagnosis confirmed?

Answer 4

Question 5

what type of angiogram can be given to provide more detail about the dissection and come up with a management plan?

Answer 5

Question 6

what is a type I dissection under DeBakey classification?

Answer 6

Question 7

what is a type II dissection under DeBakey classification?

Answer 7

Question 8

what is a type IIIa dissection under DeBakey classification?

Answer 8

Question 9

what is a type IIIb dissection under DeBakey classification?

Answer 9

Question 10

what two classification systems are used for aortic dissections?

Answer 10

Question 11

between which layers of the aortic wall does blood flow between in aortic dissection?

Answer 11

Question 12

which part of the aorta is affected in type A aortic dissections under Stanford classification?

Answer 12

Question 13

which part of the aorta is affected in type B aortic dissections under Stanford classification?

Answer 13

Question 14

what type of surgery is usually used to treat type A aortic dissections?

Answer 14

Question 15

what type of surgery is usually used to treat type B aortic dissections?

Answer 15

Question 16

what age group and gender is usually affected by aortic dissection?

Answer 16

men aged > 50

Question 17

Answer 17

Question 18

In type B haemodynamically stable patients what is initial medicinal management?

Answer 18

• IV beta blockers (to prevent propagation of the dissection)
• opioid analgesia

Question 19

what diagnostic test can be used instead of CT if a diagnosis is needed urgently?

Answer 19

TOE - trans-oesophageal echocardiography