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alright I have the dubious distinction as being between the only thing between you and lunch all right so Iamp;#39;m gonna briefly discuss a ordered dissection as fast as I can for you so again definition so acute the subject is diagnosed within two weeks of symptom onset chronic after two weeks thereamp;#39;s a subacute within three months kind of period that some people write about complicated or uncomplicated so complicated means they have evidence of Mallon refractory hypertension rupture or impending rupture and then the kind of grey zone areas the patient with uncontrollable pain so we can have a type-a dissection we can have a Type B dissection 2/3 of them or type a 1/3 or type B again Stanford in DeBakey classifications Stanford proximal B is distal DeBakey came up with type 1 dissection which is essentially from the ascending aorta all the way down thatamp;#39;s the most common type isolated is type 2 where itamp;#39;s just involving the a sending both of those are surgica