A 68-year-old man on ICU has an acute type B aortic dissection extending from the left subclavian artery to the iliac bifurcation. He has no malperfus...

Question

A 68-year-old man on ICU has an acute type B aortic dissection extending from the left subclavian artery to the iliac bifurcation. He has no malperfusion syndrome, BP is controlled at 115/70, and there is no aortic rupture. What is the recommended initial management according to ESC guidelines?

Accepted Answer

Best medical therapy - blood pressure and heart rate control with IV beta-blocker, pain control, and close monitoring

Answer

Emergency open surgical repair

Answer

Emergency thoracic endovascular aortic repair (TEVAR)

Answer

Anticoagulation with IV heparin

Answer

Observation without any specific treatment

uk-fficm MCQ (SBA): Type B Aortic Dissection

A 68-year-old man on ICU has an acute type B aortic dissection extending from the left subclavian artery to the iliac bifurcation. He has no malperfusion syndrome, BP is controlled at 115/70, and there is no aortic rupture. What is the recommended initial management according to ESC guidelines?