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Treatment
7.4.1.1. Initial Surgical Considerations in Acute Type A
Aortic Dissection
COR LOE
Recommendations
1 B-NR 1. In patients presenting with suspected or confirmed acute
type A aortic dissection, emergency surgical consultation
and evaluation and immediate surgical intervention is
recommended because of the high risk of associated life-
threatening complications.
2a B-NR 2. In patients presenting with acute type A aortic dissection, who
are stable enough for transfer, transfer from a low- to a high-
volume aortic center is reasonable to improve survival.
2a B-NR 3. In patients presenting with non-hemorrhagic stroke
complicating acute type A aortic dissection, surgical
intervention is reasonable over medical therapy to reduce
mortality and improve neurologic outcomes.
7.3.2. Subsequent Medical Management of AAS
COR LOE
Recommendations
1 B-NR 1. In patients with AAS, it is recommended to treat with long-
term beta blockers (unless contraindicated) to control heart rate
and BP to reduce late aortic-related adverse events. Additional
antihypertensive agents (particularly ARBs and ACEIs) should
be added, as necessary, to adequately control BP.
