Doctor insights on:
Infrarenal Aortic Dissection
A serious condition in which the inner layer of the aorta, the large blood vessel branching off the heart, tears. Blood surges through the tear, causing the inner and middle layers of the aorta to separate (dissect). If the blood-filled channel ruptures through the outside aortic wall, aortic ...Read more
Blood pressure: 90% of type b dissection are managed medically with blood pressure control in the acute phase. In cases of rupture, decrease perfusion to organs like intestines kidneys or legs the patient will need surgery or stenting. In chronic cases you need follow up ct scan to assess the aorta for aneurysmal degeneration. ...Read more
Pain: The overwhelming symptom is of pain, whether the back or chest. If is of a severe, sharp nature. Otherwise, symptoms related to reduced blood flow can ensue such as a faint pulse, rapid heart rate. ...Read more
Possibly: Aortic dissections are incredibly complex conditions. Your long-term prognosis would be based on many factors. Normally, the complications of dissection would in the short-term involve blood flow to your major organs. In the long-term complications include aneurysm formation. Please contact a vascular specialist for further information. ...Read more
Fairly good: Depends on the location of dissection and involvement of other arteries. With modern technology with odds are pretty good for survival. ...Read more
Severe chest pain: Aortic dissection is heralded by severe chest pain, often radiating from the front of the chest through the chest and into the back, often described as "tearing" or "ripping". If you suspect it, it's a medical emergency and every minute counts. It would be quite rare in your age group unless you have marfan's syndrome. ...Read more
http://www. Nlm. Nih. Gov/medlineplus/ency/article/000181.htm
Yes: Most are spontaneous and occur out side of the hospital. Severe pain is common usually in the back and chest. Going to the hospital is mandatory. ...Read more
The dissection is a tear of the inner lining of the aortic three layer wall
the flap may obstruct branches of the aorta and create a whole series of symptoms and complications.
Medical and surgical treatments exist depending on the exact situation. ...Read more
Http://www. Patientslikeme. Com/
i've got plenty of them in my clinic, but there's a pretty hefty penalty for giving out their names, so that will have to do :). ...Read more
Varies: Dissections in the ascending part of the aorta are most fatal and most common, they require urgent surgical repair otherwise has high mortality up to 80% but dissection in other areas like descending aorta has much lower mortality. ...Read more
Seconds: Aortic dissection is a sudden onset disease occurring in seconds but it can progress to involve other segments of the aorta or its branches over minutes, hours or even months when not treated. ...Read more
Severe, abrupt pain: Pain that is abrupt in onset and severe in intensity is the most common symptom with aortic dissection (roughly 90% of cases). Because of the size and location of the aorta, pain may be experienced as either chest pain, back pain, or abdominal pain. Additionally, pain that feels like ripping or tearing in any of these areas should raise a concern for aortic dissection. ...Read more
Dissection: Aortic dissection is a life threatening condition but an occassional patient will have evidence for a past dissection without having been hospitalized. Extrapolating from history this can sometimes be a long time. We don't really know how often this happens but believe it to be rare. ...Read more
No: Certain syndromes such as eds, marfan, and turner predispose to aortic dissection but many other causes exist. A bicuspid aortic valve and recent valve surgery increase the risk of aortic dissection. Aortic dissection also tends to run in families (even if those family members don't have Marfan or ehlers-danlos, or one of the other associated syndromes. ...Read more
I think I might have had an aortic dissection just now and I'm terrified in tears. What should I do?
Go get evaluated: An aortic dissection does not typically just happen and go away. It is a life threatening event that more typically causes excruciating, tearing pain that persists. If you are still having such pain, you should call 911 and go to an emergency room! If you had some pain that went away on its own, a dissection is much less likely -- just go get examined by a doctor. ...Read more
BP, age, Marfan's: Chronically untreated elevated blood pressure, advanced age, and marfan's syndrome (very long extremities, for your torso size). This is a rare condition to begin with. Have your physician listen for "abdominal bruit", "carotid bruit", and pursue with ultrasound if these exist and/or if large "pulsatile" mass is noted in the abdomen. ...Read more
Need to see Dr.: Your daughter would need to see a doctor who would also do certain diagnostic tests to localize, measure, and follow any abnormalities in her aorta. You don't say if an aneurysm or other problem has already been found. But if it has, I'm guessing her doctors are already doing baseline studies and keeping on top of her status. ...Read more
Pain: Aortic dissections in the acute stage (less than 3 weeks old) are classically described as a "tearing chest pain that radiates to the back" when they occur in the chest, which is their most common location. Aortic aneurysms are generally asymptomatic, but can cause abdominal or back pain, depending on their location. ...Read more
Depends: Depends on which part of the aorta was involoved, what was done, how old he is, what other conditions he has, how long ago it occurred, how much damage was done - just to name a few of the variables. ...Read more
What causes an aortic dissection and what can I do to prevent one from happening to myself or another person?
HTN and CVD: Most aortic dissections occur in people with poorly controlled blood pressure and cardiovascular disease. Rarely they occur to people with connective tissue disorders or congenital cardiac abnormalities. Prevention is best. Do not smoke, keep blood pressure well controlled, regular exercise, and a healthy diet will serve you well, and get checked often if there is presence of the disease in family ...Read more
Granmother died of MI in 1980's in her late 50's early 60's. If she had an aortic dissection would MI still be stated as cause or would it be specific?
Cause of death: In many cases, a death certification or other determination of cause of death is a best guess. For example, if a patient had chest pain followed by sudden death at home, and there was not diagnostic testing or autopsy, myocardial infarction might be the likely & assumed COD. But pulmonary embolism or aortic dissection or a malignant arrhythmia might present with a similar history. ...Read more
There are some genetic conditions such as marfan's syndrome that can make patients more likely to develop an aneurysm of their aorta and an aortic dissection. Other people develop an aortic dissection for reasons that are not directly genetic such as atherosclerosis / hardening of the arteries.
Check with your doctor. ...Read more
Chronic and acute: It is usually an acute event in a chronically hypertensive patient or a patient with a chronic disease of the aorta like Marfan's disease. There is no absolute number but the higher the blood pressure multiplied by the time the blood pressure is elevated isthe most important parameter. ...Read more
Is it dangerous for me to excercise and get my heartbeat up if I had an aortic dissection 3 yrs ago?
Is it dangerous for me to excercise and get my heartbeat up if I am at risk for an aortic dissection?
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