Acute aortic dissection can be treated surgically or medically. In surgical treatment, the area of the aorta with the intimal tear is usually resected and replaced with a Dacron graft.
Emergency surgical correction is the preferred treatment for Stanford type A (DeBakey type I and II) ascending aortic dissection. It is also preferred for complicated Stanford type B (DeBakey type III) aortic dissections with clinical or radiologic evidence of the following conditions:
Propagation (increasing aortic diameter)
Increasing size of hematoma
Compromise of major branches of the aorta
Persistent pain despite adequate pain management
Bleeding into the pleural cavity
Development of saccular aneurysm