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Pathogenesis

Aortic disease: IMH → PAU → AD

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CT Angiogram

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Stanford-and-DeBakey-classifications-of-aortic-dissection.jpg

Rough Location	Ascending/arch	Descending
Stanford Type	Type A	Type B
De Bakey Type	Type II, Type I*	Type III, Type I*
New (Zones)	Zone 0**	Zone 1
Affected organs	Brain, Heart, R upper Limb** +	Spinal cord, Abdominal viscera (GI, GU), Lower limbs
Special symptom	‣, ‣, ‣, differencial ‣ on L and R radial pulse + Descending	‣, ‣, ‣, ‣, gonadal ischemia…
Surgical Management	Emergency open heart surgery (‣)	Complicated:* urgent ****‣,
Uncomplicated: subacute (2 wk - 3 mon) ‣
Specialty Consult	‣	‣

<aside>

*De Bakcy Type I = Both upper and lower

**New guideline, Zone 0 is everything afferent to Brachiocephalic trunk

***** Complicated:**