Which treatment is indicated for Type A aortic dissection?

Type A aortic dissection involves a tear in the aorta that typically affects the ascending aorta and can lead to life-threatening complications. The management of Type A dissection usually requires surgical intervention due to the high risk of mortality associated with medical management alone.

Aortic root replacement is a surgical treatment indicated when there is a need to repair or replace the section of the aorta that has been compromised. This approach is critical for stabilizing the patient's condition, repairing any damage to the aorta, and preventing further complications such as rupture or malperfusion of vital organs.

While other treatments may play a role in managing aortic dissection, such as beta-blockers for blood pressure control and reducing the shear stress on the aorta, they are not definitive treatments for Type A aortic dissection. Medical therapy alone is insufficient, and endovenous laser therapy is unrelated to the management of aortic dissection. Therefore, surgical intervention, specifically aortic root replacement, is the correct and indicated treatment for Type A aortic dissection.