Stanford classification
Cardiology
Also known as: DeBakey classification · Stanford- und DeBakey-Klassifikation der Aortendissektion · Aort diseksiyonu Stanford ve DeBakey sınıflaması · Stanford and DeBakey classification of aortic dissection
What it is for
Anatomical classifications of aortic dissection. Stanford is based on whether the ascending aorta is involved; DeBakey on where the dissection starts and how far it extends.
Classification
| Category | Description |
|---|---|
| Stanford type A | involves the ascending aorta, wherever the entry tear lies (including retrograde extension from the arch or descending aorta); corresponds to DeBakey I and II. |
| Stanford type B | does not involve the ascending aorta; corresponds to DeBakey III. |
| DeBakey type I | starts in the ascending aorta and extends to the arch and descending aorta. |
| DeBakey type II | starts in and is confined to the ascending aorta. |
| DeBakey type III | starts in the descending aorta distal to the left subclavian artery: IIIa limited to the thoracic aorta, IIIb extending below the diaphragm. |
| Note | newer systems (e.g. TEM classification, 2020 SVS/STS classification) add arch involvement, entry site and malperfusion. |
Source
Management of acute aortic dissections
Ann Thorac Surg 1970;10:237-247 (Daily PO et al.; Stanford classification)
DOI: 10.1016/s0003-4975(10)65594-4
PMID: 5458238
- Edition
- Stanford (Daily 1970) and DeBakey (1965) classifications, unchanged; newer systems include TEM and SVS/STS 2020
- Checked on
Summary of the published classification in our own words. Not a substitute for the original publication.
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