I read with great interest the review recently published by J. Gawinecka et al. : “Acute aortic dissection: pathogenesis, risk factors and diagnosis”. The authors report an update that summarises the current knowledge on aortic dissection. I regret, however, that two major issues, matters of debate and controversy, were not discussed. Firstly, the reported classifications, the DeBakey  and the Stanford  classifications, are of course widely used to characterise aortic dissection.