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Medical Health Encyclopedia
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Aortic rupture, chest X-ray
Aortic rupture, chest X-ray
Aortic aneurysm
Aortic aneurysm
Aortic dissection
Aortic dissection


Aortic dissection

Alternative Names:
Aortic aneurysm - dissecting

Treatment:

The goal of treatment is prevention of complications. Hospitalization is required.

Text Continues Below



Antihypertensives (drugs that lower blood pressure) may be prescribed, and these may be given through a vein (intravenous). Potent pain relievers are usually needed. Cardiac medications such as beta-blockers may reduce some of the symptoms.

Surgical repair or replacement of the section of aorta is curative in some cases. If the aortic valve is compromised by the dissection, aortic valve replacement is necessary. If the coronary (heart) arteries are involved, a coronary bypass is also performed.



Expectations (prognosis):

Aortic dissection is life-threatening. The likelihood of death within the first 48 hours is 1% per hour for untreated patients. The disorder is curable with surgical repair if it is performed before aortic rupture. Less than half of patients with ruptured aorta survive.



Complications:
  • bleeding from the aorta
  • aortic rupture causing rapid blood loss, shock
  • clot formation
  • insufficient circulation past the area of the dissection
  • irreversible kidney failure
  • stroke
  • heart attack
  • cardiac tamponade -- a condition where fluid accumulates in the lining of the heart, which impairs the heart's ability to pump out blood


Calling your health care provider:

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