9
Table II. Aortic dissection acuity
Uncomplicated
No rupture No high-risk features
No malperfusion
High risk
Refractory pain Radiographic only malperfusion
Refractory hypertension Readmission
Bloody pleural effusion Entry tear: lesser curve location
Aortic diameter >40 mm False lumen diameter >22 mm
Complicated
Rupture Malperfusion
Figure 10. Atherosclerotic Ulcer and Intramural Hematoma
A, Penetrating atherosclerotic ulcer (PAU) without intramural hematoma (IMH).
B, PAU with associated IMH and le pleural effusion.
