A 50 years old male presented in the emergency with high BP (160/100) and heart rate of 120. A CECT is done which is given below. what is the management of the given condition?
A. Surgical repair
B. Beta blocker medication
C. Low molecular weight heParin
D. Vitamin k inhibitors
Ans. A. Surgical repair
(Ref: sabiston textbook ofsurgery 2Ah edition, ch-61, pg. 1746-1747 and Kaufman J & Lee M Vascular & Intementional Radiologt: The Requisites, Mosby 2004)
- The given CT Scan shows Type A Aortic Dissection.
- Type A dissection may also result in coronary artery occlusion, aortic regurgitation and pericardial tamponade and therefore management of this type of dissection is usually emergency surgical repair.
- Type B dissections are usually managed with aggressive brood pressure control unless there are complications.