علاج التسلخ الأبهري الحاد غير المعقد غير الشامل للأبهر الصاعد (نوع ستانفورد B)

References

Type B: All dissections that do not involve the ascending aorta (including dissections that involve the aortic arch but spare the ascending aorta)

In all patients with uncomplicated acute type B aortic dissection, medical therapy is recommended as the initial management strategy.

In patients presenting to the hospital with AAS, prompt treatment with anti-impulse therapy with invasive monitoring of BP with an arterial line in an ICU setting is recommended as initial treatment to decrease aortic wall stress.

Patients with AAS should be treated to an SBP <120 mm Hg or to lowest BP that maintains adequate end-organ perfusion, as well as to a target heart rate of 60 to 80 bpm.

DOI: 10.1161/CIR.0000000000001106