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While some types of aortic dissections do not require emergent surgery, the majority do. An aortic dissection is a serious and life-threatening condition. The decision regarding appropriate treatment should be made in consultation with an experienced surgeon who specializes in the treatment of aortic disease.
If the dissection is acute--occurring less than 2 weeks prior-- and involves the more proximal portions of the aorta, (eg, the root, ascending aorta, or aortic arch), emergent surgery is generally required. If the dissection involves the more distal aorta (eg, descending thoracic aorta or abdominal aorta), strict blood pressure is typically recommended. Surgery may be recommended for dissections of the distal aorta when it is believed to be the cause of ongoing back or abdominal pain, renal damage, paralysis, bowel ischemia, limb ischemia, or aortic rupture. Surgery may also be recommended when the aorta is significantly enlarged.
If an aortic dissection is found (or suspected), strict blood pressure control is needed with a target mean arterial pressure of 60-75 mmHg. Beta blockers (e.g. Esmolol, Propranolol, or Labetalol) are first-line treatment. Calcium-channel blockers (e.g. Verapamil and Diltiazem) can be used, particularly if there is a contraindication to beta blockers. Vasodilators (e.g. Sodium nitroprusside) can be used for refractory hypertension, but they never should be used without beta- or calcium-channel blockers. Vasodilators, including Hydralazine and Minoxidil, and beta-blockers that have intrinsic sympathomimetic action (e.g. Acebutolol, Pindolol) should be avoided.
Wiki User
∙ 12y ago
Wiki User
∙ 11y agomedicine :)
* An aortic aneurysm occurs when there is a weakness in the walls of the aortia. The weakness can cause the wall to tear and buldge. This is a very serious, life threatening situation. Only surgery can repair the weakened area. (2) Causes can be :-
Mechanical injury - forces exerted against the body during a motorvehicle accident can cause a tear.
Autoimmune Disease - Giant Cell Aortitis can weaken the artery wall and cause an aneurysm.
Wiki User
∙ 8y agoIf you have large AAA:
- Endovascular surgery
- open surgery
- stop smoking
- start eating a balanced diet
- maintain your weight
- exercise daily
Wiki User
∙ 10y agoThe treatment for aortic dissection depends on where the damage occurred. Some cases are treated with surgery, while others are treated with medicine.
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What causes aortic dissection?
Aortic dissection is caused by a deterioration of the inner lining of the aorta.
What are the symptoms of aortic dissection?
An aortic dissection usually causes severe pain in the abdomen, back, or chest, depending on the section of the aorta that is affected.
Are elevated troponins associated with aortic dissection?
yes
Is there a support group for people that survived an aortic dissection?
aorticdissection.com
What is a separating aorta?
"Separating aorta" might refer to an aortic dissection. An aortic dissection is a life-threatening aortic condition in which the inner layer of the aorta is torn. This causes blood to collect in the space between the two layers. This blocks blood flow, causes the tear to enlarge and weakens the outer wall of the aorta, which can lead to this wall rupturing. Medical attention at a center specializing in aortic disease should be sought immediately for suspected aortic dissection.
Trauma related cyanosis from nipple line to head?
Thoracic aortic dissection or hemopericardium.
When did Tomoyuki Dan die?
Tomoyuki Dan died on October 10, 2013, in Japan of aortic dissection.
Can aortic dissection be fatal?
Aortic Dissection can be fatal if it is not recognized right away. It occurs when the wall of the aorta tears and blood flows in. Most people associate the pain with a heart attack and tend to ignore the symptoms.
When did Eiichi Ohtaki die?
Eiichi Ohtaki died on December 30, 2013, in Tokyo, Japan of aortic dissection.
Difference between myocardial ischemia and aortic dissection?
in myocadial ischemia, pain radiate to jaw, neck,shoulder,arm wheras in aortic dissection pain radiate to back, between scapulae there is differense between pulse rate of both arms and leg depending on ecg changes
When did Leslie Temple die?
Leslie Temple died on July 10, 2004, in Liverpool, England, UK of aortic dissection.
What causes a massive haemopericardium?
Massive haemopericardium is caused by bleeding into the pericardial sack. The cause of this may be penetration by a sharp object or projectile, blunt chest trauma, or splitting of the heart wall as a result of mitral valve problems or damage to the myocardium (the inner layer of the heart) following a heart attack for example.
