Case challenge · Cardiology / Emergency / Thoracic surgery · teaching

Acute Aortic Dissection — Management Pathway · case challenge

Given a case, work through the care pathway step by step; the tool checks each choice and scores you. Decisions and basis are taken from this site's reviewed care pathways.

← View the full flowchartBased on 2022 ACC/AHA

Case #1Cardiology / Emergency / Thoracic surgery

📋 Case data

Confirm & classifyStanford B (descending only)

Data is taken from this pathway's reviewed node text. Work through the pathway step by step.

Step 1 / 1 · Confirm & classify

Stanford type?

💡 Sudden severe tearing chest/back pain, asymmetric pulses or BP, widened mediastinum. CTA (first-line if stable) confirms; untreated mortality rises 1–2% per hour. Stanford A = involves the ascending aorta; B = descending only (distal to the left subclavian). Start anti-impulse therapy for all types.

For teaching. Decisions and their basis are taken from this site's reviewed care pathways; for licensed clinicians/trainees, this does not replace clinical judgment or local protocols.