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Disecting aortic aneurysm and how to manage Aortic dissection (“dissecting aortic aneurysm”) What it is A tear in the intima with blood dissecting the media; classified as Type A (ascending) or Type B (descending). Part of acute aortic syndromes (with intramural hematoma, penetrating ulcer). Initial medical management (all dissections) Immediate goals: reduce aortic wall stress. HR target: ~60–80 bpm (many centers aim 5.5–6 cm, rapid growth, symptoms) → TEVAR or open repair. 4--Perioperative adj
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