0
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.
What else can I help you with?
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
What causes aortic dissection?
Aortic dissection is typically caused by a tear in the inner layer of the aortic wall, leading to the separation of the layers and the formation of a false channel for blood to flow through. This can be triggered by conditions that weaken the aortic wall, such as high blood pressure, genetic disorders affecting connective tissue, or trauma.
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.
Is there a support group for people that survived an aortic dissection?
aorticdissection.com
Trauma related cyanosis from nipple line to head?
Thoracic aortic dissection or hemopericardium.
How does aortic dissection affect the heart?
Aortic dissection occurs when the inner layer of the aorta tears, allowing blood to flow between the layers of the vessel wall, which can compromise blood flow to the heart and other organs. This condition can lead to severe chest pain, reduced oxygen supply to the heart muscle, and potentially result in complications such as heart attack or heart failure. If the dissection extends to the coronary arteries, it can directly impair blood flow to the heart. Timely diagnosis and treatment are crucial to prevent serious outcomes.
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
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.
