A 70-year-old man on ICU has acute type A aortic dissection confirmed on CT aortogram. He is hypotensive (BP 75/50) with a pericardial effusion and ta...

Question

A 70-year-old man on ICU has acute type A aortic dissection confirmed on CT aortogram. He is hypotensive (BP 75/50) with a pericardial effusion and tamponade physiology on echocardiography. What is the definitive treatment?

Accepted Answer

Emergency open surgical repair - aortic root/ascending aorta replacement

Answer

Pericardiocentesis and medical management

Answer

Endovascular stent grafting (TEVAR)

Answer

Medical management with IV beta-blocker only

Answer

Observation and serial imaging

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

A 70-year-old man on ICU has acute type A aortic dissection confirmed on CT aortogram. He is hypotensive (BP 75/50) with a pericardial effusion and tamponade physiology on echocardiography. What is the definitive treatment?