Hub 01 · Condition

Aortic Dissection

"A tear inside the aortic wall that can be time-critical."

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Every case is different. Get a personal review by Dr Sidhu — not a template response.

— Time-sensitive

Sudden tearing chest or interscapular pain — this is an emergency.

Urgent evaluation path
— 01

What it is

In a dissection, blood enters between the layers of the aortic wall. Type A (ascending) is a surgical emergency; Type B (descending) is often managed medically first, with endovascular repair (TEVAR) for complicated cases.

— 02

Symptoms & signs

  • Sudden tearing chest/back pain
  • Difference between arms in blood pressure
  • Neurological or limb symptoms if branches are compromised
— 03

Diagnosis

Emergency CT angiography is the reference standard.

— 04

Treatment

Uncomplicated Type B: strict blood pressure control and surveillance. Complicated Type B (malperfusion, expansion, refractory pain): TEVAR — a covered stent to seal the entry tear.

— 05

Frequently asked

The information above is for general education and does not replace personal medical advice. For a case-specific view, book a consultation with Dr Sidhu.
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