Which DeBakey dissection type is only confined to the ascending aorta?

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The correct answer is Type II, as it specifically refers to a dissection confined to the ascending aorta. In DeBakey classification, this type describes the most limited scenario of aortic dissection, occurring solely within the ascending aorta without extending into the aortic arch or descending aorta.

Type I involves the ascending aorta and extends into the aortic arch and descending aorta, while Type III involves dissection that originates in the descending aorta and typically does not affect the ascending aorta at all. Type IV is not recognized in the DeBakey classification; instead, it pertains to Stanford classification where it relates to dissections below the diaphragm.

Understanding the distinctive characteristics of each type of dissection aids in their recognition and management, which is crucial in clinical settings to facilitate timely and effective treatment.

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