The information on this website is not intended for diagnosis or treatment. Please consult your physician for health concerns.

+90 850 321 50 00

Aortic Dissection Stanford Classification

Emergency treatment approach in Type A and Type B aortic dissection.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Kardiyoloji department. Book Appointment →

What is Aortic Dissection Stanford Classification?

Aortic dissection is the entry of blood into the media layer following a tear of the aortic intima, creating true and false lumens. Stanford Type A involves the ascending aorta and requires emergency surgery; Type B is limited to the descending aorta and is generally managed medically.

If Type A dissection is not operated, the 48-hour mortality exceeds 50%. Acute chest/back pain, blood pressure differences, and findings of aortic regurgitation should raise suspicion.

Symptoms

Sudden tearing chest/back pain
Blood pressure difference between arms (>20 mmHg)
Acute aortic regurgitation murmur
Syncope or shock
Peripheral pulse deficit

Risk Factors

Hypertension
Marfan syndrome and Loeys-Dietz syndrome
Bicuspid aortic valve
Aortic aneurysm
Cocaine use
History of cardiac surgery

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Sudden tearing pain — call EMERGENCY 112!
  • Blood pressure difference and pulse deficit
  • Syncope with chest pain

Treatment Methods

01
CT angiography (diagnosis — 95% sensitivity)
02
Type A: emergency surgery (ascending aortic replacement)
03
Type B uncomplicated: IV beta-blocker + antihypertensive
04
Type B complicated (organ malperfusion): TEVAR
05
Pain control and blood pressure target (SBP <120 mmHg)
06
Long-term antihypertensive treatment and serial CT follow-up

Which Department to Visit?

You can visit our Kardiyoloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Kardiyoloji Department

Let us help you

You can make an appointment with our specialists or contact us for your concerns.

Book AppointmentContact Us

Related Health Topics

Other articles from the same department you may want to explore.

Hypertension (High Blood Pressure)

Kardiyoloji

Hypertension is a condition in which blood pressure readings remain above 140/90 mmHg; early treatment helps prevent serious complications.

Coronary Artery Disease

Kardiyoloji

Narrowing of the coronary arteries due to atherosclerosis can cause chest pain (angina) and heart attack.

Heart Failure

Kardiyoloji

Heart failure is a chronic cardiac condition characterized by shortness of breath, leg swelling, and fatigue.

Heart Attack (Myocardial Infarction)

Kardiyoloji

A heart attack is a medical emergency; because heart muscle is lost by the minute, immediate intervention saves lives.

Atrial Fibrillation

Kardiyoloji

Atrial fibrillation is a common arrhythmia characterized by an irregular heartbeat and increased risk of stroke.

Heart Palpitations

Kardiyoloji

Palpitations are usually due to benign causes, but underlying cardiac rhythm disorders must be ruled out.

Heart Valve Diseases

Kardiyoloji

Valve stenosis or regurgitation increases the workload of the heart and, over time, can lead to heart failure.

Aortic Aneurysm

Kardiyoloji

Aortic aneurysms are often silent; early diagnosis allows treatment before rupture (a life-threatening tear).

Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.