Uncomplicated, distal aortic dissections are typically treated with blood pressure and heart rate control. Indications for surgery are persistent pain, uncontrollable blood pressure, branch artery occlusion, or signs of rupture or impending rupture. Anticoagulation would not have a role in routine management of aortic dissection. Intra-aortic balloon pump is used for cardiogenic shock but has no role in aortic dissection.
