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Tsai TT, Isselbacher EM, Trimarchi S, et al. Lansman SL, McCullough JN, Nguyen KH, et al. Long-term survival of patients with treated aortic dissection. Doroghazi RM, Slater EE, DeSanctis RW, Buckley MJ, Austen WG, Rosenthal S. Dissecting aneurysm of the aorta: a review of 505 cases. Urgent operation for acute transverse aortic arch dissection. Lansman SL, Raissi S, Ergin MA, Griepp RB. Acute and chronic aortic dissections: determinants of long-term outcome for operative survivors. Operative treatment of aortic dissections: experience with 125 patients over a sixteen-year period. Vascular diseases of the thorax: evaluation with multidetector CT.
Thoracic aortic dissection and aneurysm: evaluation with nonenhanced true FISP MR angiography in less than 4 minutes.
Pereles FS, McCarthy RM, Baskaran V, et al. Diagnosis of thoracic aortic dissection: magnetic resonance imaging versus transesophageal echocardiography. Nienaber CA, Spielmann RP, von Kodolitsch Y, et al.
Aortographic analysis of aortic dissection. Aortic dissection: a statistical analysis of the usefulness of plain chest radiographic findings. Jagannath AS, Sos TA, Lockhart SH, Saddekni S, Sniderman KW. Clinical, diagnostic, and management perspectives of aortic dissection. DeSanctis RW, Doroghazi RM, Austen WG, Buckley MJ. Uncommon congenital and acquired aortic diseases: role of multidetector CT angiography. Kimura-Hayama ET, Meléndez G, Mendizábal AL, Meave-González A, Zambrana GF, Corona-Villalobos CP. Surgical management of dissecting aneurysms of the aorta. DeBakey ME, Henly WS, Cooley DA, Morris GC Jr, Crawford ES, Beall AC Jr. Daily PO, Trueblood HW, Stinson EB, Wuerflein RD, Shumway NE. The International Registry of Acute Aortic Dissection (IRAD): new insights into an old disease. Hagan PG, Nienaber CA, Isselbacher EM, et al. Finally, a unified classification system that reconciles imaging interpretation and management implementation is proposed. Institutional review board approval and waiver of informed consent were obtained as part of this HIPAA-compliant retrospective study to assess all aortic dissection studies performed at the University of Maryland Medical Center, Baltimore between 20 to determine the prevalence of arch dissections. The cause for the widespread misconception about classification and treatment algorithms is identified. In this special report, the origin of dissection classification and its evolution into current radiologic interpretation and surgical practice are reviewed. However, the radiologic perspective is not supported by either standard dissection classification or current clinical management. This gap has been the subject of controversy in the medical and surgical literature, and there is a tendency among many radiologists to categorize such arch dissections as type A lesions, thus making them an indication for surgery. However, dissections with intimal flap extension into the aortic arch between the innominate and left subclavian arteries are not accounted for adequately in the widely used Stanford classification. Aortic dissections originating in the ascending aorta and descending aorta have been classified as type A and type B dissections, respectively.