Medical management of acute aortic dissection

Objective Acute aortic dissection occurs when a tear in the inside of the aorta causes blood to flow between the layers of the wall of the aorta, forcing the layers apart. In most cases this is associated with a sudden onset of severe chest or back pain, often described as " tearing" in character. The main management includes medication, endovascular repair and surgery. Medical management plays an very important role in the management of acute aortic dissection. Aortic dissection generally presents as a hypertensive emergency. Individuals can benefit from blood pressure control and anti-impulse therapy in perioperative period.