Vascular

Question 1

Management of uncomplicated dissections of descending thoracic and abdominal aorta

Answer 1

Typically managed nonoperatively with medications and indefinite surveillance

Question 2

Indications for surgery for dissections of descending thoracic and abdominal aorta

Answer 2

a. Visceral or renal malperfusion
b. Impending rupture
c. Concern for medication non-compliance

Indications for delayed operation: persistent pain, aneurysmal dilation (> 40mm), evidence of end-organ malperfusion, uncontrolled hypertension, or development of sizable false aneurysm.