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Aortic Dissection Key Points

Writer's picture: Shaun NicosiaShaun Nicosia
  • An aortic dissection occurs following a tear in the intimal layer of the aortic wall causing blood to flow between the layers of the aortic wall

  • Patients will classically present with a tearing central chest pain, radiating through to the back

  • A computed tomography angiogram is the gold-standard first line investigation

  • Type A dissections should be managed surgically whilst uncomplicated Type B dissections can initially be managed medically.


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