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Aortic dissection

Prevalence
Clinical features
Differential diagnosis
Investigations
Therapy
Prevention
Prognosis
Prognosis

Around a sixth of patients with aortic dissection die before surgery, many from aortic rupture c

Most survive surgery, and long-term survival is reasonable, though further surgery may be required b , especially for rupture. c  

Patients are at increased risk of dying if they have b

  • a pleural rupture
  • complications of dissection at presentation
  • increasing age
  • cardiac disease
 

Expiry date: August 2004
Levels of Evidence used in grading these guides

Author   CM   Ball
Reviewer   M   Briggs
CAT Writers   CM   Ball , CJ   Wotton