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acute aortic dissection

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3.1.12 - Aortic Dissection
from Section 3.1 - Cardiac and Circulatory Failure
- By Simon Mattison
Edited by Ned Gilbert-Kawai, The Royal Liverpool Hospital, Debashish Dutta, Princess Alexandra Hospital NHS Trust, Harlow, Carl Waldmann, Royal Berkshire Hospital, Reading
Book:

Intensive Care Medicine

Published online:

27 July 2023

Print publication:

01 December 2021, pp 137-139
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Summary

Key Learning Points
1. Acute aortic dissection is a rare, but life-threatening disorder.
2. Presentation may be similar to that of an acute coronary syndrome and should always be considered as a differential diagnosis.
3. Immediate treatment should focus on analgesia and blood pressure control, followed by rapid referral to a specialist unit.
4. ECG-gated computed tomography is usually the imaging modality of choice.
5. Urgent surgery is usually required for type A dissections.