Background: Acute Aortic Dissection (AAD) was hyperacute Emergency in cardiology caused deaths of patients. The purpose of this study was to report the clinical, paraclinical features and outcomes of treatment for patients who had AAD in Viet-Tiep Hospital, Between January 2009 and June 2012. Methods and Results: 43 of patients with the confirmed diagnosis of AAD were studied. Mean age was 65,2 + or - 12,7 years(commons over 60 years) with 39,5 percent (15/43) female, 65,1 percent (28/43).male. Hystory of disease were Hypertension and disorder of lipidemia. The clinical commons symptom of AAD were left chest pain, systolic hypertension, The different level of systolic blood pressure in both sides of hands or legs. Symptom of imaging diagnostic were large mediastinal shade on Xray chest film, large diameter of aorta on ultrasound and cr.Scaner. The ratio of Types of A Stanford was the higher than ratio of types of B Stanford. Goal of therapy was management of systolic blood pressure at 111,3 + or - 7,9 mmHg and heart rate of 66 + or - 4,5bpm. the authors used combination between Beta blocker drug, Calcium channel blocker and Inhibitor Angiotensin Covert Enzyme to stable blood pressure under 140/90mmHg. The complications were pleural effusion, epicardial effusion. Hospital mortality was 39,5 percent (within 2 first weeks), ratio of being discharged from hospital was 60,5 percent. The main causes of motality were rupture of aortic dissection, shock, multiple organs failure. Conculsion: Hypertension and disorder of lipidemia was risk fartor of Acute Aortic Dissection (AAD). Left chest pain, systolic hypotension, large mediastinal shade on X-ray chest film, large diameter of aorta on ultrasound and CT-Scaner were main symptom of AAD. Therapy of hypertension, shock and multiple organs failure were required to decrease serious complication and hospital mortality of AAD.
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