management of Aortic dissection, the first line of T/t for both Stanford A &B was giving Esmolol na?? To bring down BP for “Permissive hypotension” ?
It can involve coronary artery with aortic root leading to fatal aortic regurgitation that’s why it’s emergency condition…
Stanford A dissection : IMMEDIATE SURGERY
Ascending Aortic Dissection is a Surgical Emergency!
Stanford A is an immediate indication of surgery and it can go retrograde and involve coronaries and cause even MI.
Stanford B - we can wait and manage the BP by beta blockers.