TY  - CHAP
M1  - Book, Section
TI  - Chapter 30. Aortic Dissection
A1  - Austin, Joseph J.
A2  - Hall, Jesse B.
A2  - Schmidt, Gregory A.
A2  - Wood, Lawrence D.H.
PY  - 2005
T2  - Principles of Critical Care, 3e
AB  - Acute  aortic  dissection  occurs  more  commonly  than  ruptured  abdominal  aortic  aneurysm.The  typical  pain,  poor  peripheral  perfusion,  and  evidence  of  aortic  branch  occlusion  suggest  the  diagnosis.Early  pharmacologic  control  of  systolic  blood  pressure  and  the  pulse  wave  (dP/dT)  is  imperative.Investigations  must  be  undertaken  urgently  to  confirm  the  diagnosis  and  direct  definitive  treatment.Emergency  surgical  repair  is  indicated  for  type  A  dissections.Control  of  hypertension  is  important  to  minimize  complications  and  maximize  survival  both  in  the  postoperative  period  and  in  the  long  term.Type  B  dissections  may  have  a  more  ominous  prognosis  than  previously  thought  and  require  very  close  long-term  follow-up.  
SN  - 
PB  - The McGraw-Hill Companies
CY  - New York, NY
Y2  - 2019/06/16
UR  - accessmedicine.mhmedical.com/content.aspx?aid=2286477
ER  -