How do you classify an aortic dissection?

How do you classify an aortic dissection?

The DeBakey classification divides dissections into 3 types, as follows:

1. Type I involves the ascending aorta, aortic arch, and descending aorta.
2. Type II is confined to the ascending aorta.
3. Type III is confined to the descending aorta distal to the left subclavian artery.

Is arch dissection type A or B?

Many radiologists believe that aortic arch dissections (that originate from or extend proximally into the aortic arch but do not involve the ascending aorta) are classified as type A lesions; however, arch dissections are typically managed medically and, in fact, should be reported as type B dissections with aortic …

What does a dissection have to do with classification?

The Stanford classification divides dissections by the most proximal involvement: type A involves any part of the aorta proximal to the origin of the left subclavian artery, whereas type B arises distal to this vessel origin.

How common is type A aortic dissection?

Aortic dissection is relatively uncommon. It usually occurs in men in their 60s and 70s. Symptoms of aortic dissection may mimic those of other diseases, often leading to delays in diagnosis.

Which type of aortic dissection requires immediate surgery?

Acute Aortic Dissection Because the condition can lead to a rupture of the aorta, it requires immediate medical attention, usually surgery.

Which type of aortic dissection requires surgery?

A Type A aortic dissection is a medical emergency and requires surgery to repair the tear before further damage occurs.

Are there different types of aortic dissections?

An aortic dissection is classified as Type A if it occurs in the ascending portion of the aorta, or Type B if it occurs in the descending portion of the aorta. Type A dissections are an emergency and typically require surgical intervention, while Type B dissections may be managed without surgery by carefully controlling blood pressure.

What is Type B aortic dissection?

Type B Aortic Dissection. A Type B aortic dissection occurs when there is an intimal tear present beyond the left subclavian artery. However, this tear can also form in the aortic arch. The false channel propagates distally into the descending and abdominal aorta.

What are the symptoms of a torn aorta?

It can be difficult to differentiate the signs and symptoms of torn aorta from those of the impaired heart conditions, such as heart attack. The most common symptoms of these conditions are chest pain and pain in the upper back.

What is a tear in the aorta?

A torn aorta, also known as traumatic aortic transection or disruption, is a condition in which the aorta, the largest blood vessel in the body, splits as a result of shock in the body.