A 64-year-old man with a history of smoking presents with sudden-onset tearing chest pain radiating to the back. Blood pressure is 192/98 mm Hg, and t...

Question

A 64-year-old man with a history of smoking presents with sudden-onset tearing chest pain radiating to the back. Blood pressure is 192/98 mm Hg, and there is a difference of 25 mm Hg in systolic BP between arms. CT angiography confirms a Stanford type A aortic dissection. What is the most appropriate management?

Accepted Answer

Urgent surgical repair of the ascending aorta

Answer

Blood pressure control and outpatient follow-up

Answer

Endovascular stent-graft repair only

Answer

High-dose steroids and observation

Answer

Oral beta-blocker therapy alone

us-abem MCQ (SBA): Aortic Dissection