Which type of aortic dissection is generally not managed with surgical intervention?

A Type B aortic dissection involves the part of the aorta that is distal to the left subclavian artery and does not typically extend into the ascending aorta. Surgical intervention is often reserved for patients who are experiencing complications such as persistent pain, rupture, or end-organ malperfusion. In many cases, Type B dissections can be managed with medical treatment alone, including the control of blood pressure and heart rate, in order to minimize stress on the aorta and reduce the risk of complications.

On the other hand, Type A dissections, which involve the ascending aorta, usually require urgent surgical repair due to the high risk of life-threatening complications such as cardiac tamponade, aortic regurgitation, or rupture. Type D does not typically correspond to a recognized classification in common clinical practice concerning aortic dissections. Hence, Type C and Type D options can be ruled out based on their erroneous classification or lack of recognition.

Therefore, Type B aortic dissections are managed conservatively unless specific complications arise, making this the correct answer.