ACUTE AORTIC DISSECTION

Thierry Carrel, Thoralf M Sundt 3rd, Yskert von Kodolitsch, Martin Czerny

The document summarizes current knowledge about acute aortic dissection, focusing on preoperative, perioperative, and postoperative management. It discusses the pathophysiology, classification, and treatment options available for this severe acute aortic syndrome. The authors highlight the importance of understanding the initial intimal tear's location and extension in determining the appropriate management strategy, which may include emergency surgery, endovascular intervention, or optimal medical treatment. The evolving scientific evidence for managing acute aortic dissection is also addressed.