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What are the differential diagnoses and how would investigate them?

The CTA for this gentleman has revealed a Stanford type B aortic dissection. How does the anatomy effect the pathophysiology and classification?

What are the goals of initial management for this gentleman?

How does classification influence further management?

What are the potential complications following open repair of the dissection?

What ongoing follow up will he need?

Case of the Month #30 Aortic Dissection

The emergency department refers a 72-year-old gentleman who woke up this morning with excruciating pain in his chest and between his scapulae, which he describes as ‘tearing’. He is known to have hypertension and has a 50 pack-year history of smoking. On examination he has a heart rate of 103 beats-per-minute (BPM) and a blood pressure (BP) of 190/101mmHg in the right arm and 171/97mmHg in the left...

Author Dr Joslan Scherewode

Cardiovascular

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