"Type A dissections are generally managed surgically +/- post-surgical TEVAR, as they may result in coronary artery occlusion, aortic valve incompetence, or rupture into the pericardial sac with resulting cardiac tamponade 3,10."
"The seminal paper on the management of acute aortic dissection was published by Daily et al., a group of cardiothoracic surgeons at Stanford University School of Medicine, in 1970 7. They evaluated a cohort of 35 patients with dissecting aortic aneurysms, 30 of whom had acute disease. When the ascending aorta was involved, surgery resulted in a 28% mortality rate, versus 67% for the medically treated group. However, if the dissection involved only the descending aorta, the medical (20%) and surgical (28%) groups had similar outcomes 7."
"The Stanford and DeBakey systems are the primary classification systems for aortic dissection (c. 2023) 11, but do not differentiate amongst dissection subgroups that are included in more recent (c. 2024) classification systems, e.g. SVS/SVT classification, TEM classification 10."
"The Stanford and DeBakey systems are the primary classification systems for aortic dissection (c. 2023) 11, but do not differentiate amongst dissection subgroups that are included in more recent (c. 2024) classification systems, e.g. SVS/SVT classification, TEM classification 10."
"The Stanford and DeBakey systems are the primary classification systems for aortic dissection (c. 2023) 11, but do not differentiate amongst dissection subgroups that are included in more recent (c. 2024) classification systems, e.g. SVS/SVT classification, TEM classification 10."
"The same division into A, non-A non-B, and B types is employed by the TEM classification, which is an extension of the Stanford classification recommended by the European Association for Cardio-Thoracic Surgery and the Society of Thoracic Surgeons in their 2024 guidelines 10."
"Type A dissections are generally managed surgically +/- post-surgical TEVAR, as they may result in coronary artery occlusion, aortic valve incompetence, or rupture into the pericardial sac with resulting cardiac tamponade 3,10."
"Type B dissections are generally managed medically with blood pressure control unless complicated by (or at high risk of) end-organ ischaemia or pain, in which case surgical intervention (e.g. open repair, TEVAR) is indicated 3,10."
"TEM (type, entry, malperfusion) classification of aortic dissection"
Expected headings
"Classification"