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Doctor insights on: Type A Aortic Dissection

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Amanda Xi Dr. Xi
14 doctors agreed:
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What is a dissecting aortic aneurysm?

Amanda Xi Dr. Xi
14 doctors agreed:
What is a dissecting aortic aneurysm?

Serious condition: An aortic dissection is when a tear develops in the inner layer of the aorta [which is a large blood vessel that branches from the heart] and blood enters between the inner and middle layers, causing them to separate. If the wall ruptures, then it is often fatal. If detected and treated early on, your chances of survival improves. With appropriate treatment your risk of death is 10%. ...Read more

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Dr. Roberto Rodriguez
116 doctors shared insights

Aortic Dissection (Definition)

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


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What is a thoracic aortic aneurysm?

What is a thoracic aortic aneurysm?

Thoracic aortic aneu: read this: http://www.vascularweb.org/vascularhealth/pages/thoracic-aortic-aneurysm.aspx

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How does an ascending aortic aneurysn differ from a descending aortic aneurysm?

How does an ascending aortic aneurysn differ from a descending aortic aneurysm?

Couple of things: Ascending aortic aneurysms occur anywhere from just after the heart to just after the takeoff of the blood brain vessels. In descending aneurysm, the site is any of the remaining aorta. This becomes complicated because one type can also turn into the other. Generally speaking, ascending aneurysms are usually operated on, and descending are usually medically managed. Complicated topic. ...Read more

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Is aortic aneurysm same as aortic dissection?

Is aortic aneurysm same as aortic dissection?

No: An aortic dissection is a tear in the lining of the aorta, causing blood to leak into the aortic wall, causing pain and possibly hemodynamic issues. An aneurysm is an enlargement of the vessel to more than 2 times its normal size. Dissections may occur in aneurysms, and may become aneurysmal, but can occur independent of each other. ...Read more

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How does aortic dissection differs from aortic aneurysm?

How does aortic dissection differs from aortic aneurysm?

Aneurysm/Dissection: An aneurysm is an area where the aorta has ballooned out compared to the aorta below and above. The more expanded the greater the risk of rupture. Dissection is when there is a disruption of the inner layer of the aorta and blood can flow between the layers. This often will cause blockages of aortic branch vessels resulting in stroke, heart attack, and bowel/kidney infarction, etc. ...Read more

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Is there a difference between a thoracic aneurysm and a thoracic aortic aneurysm?

Probably not: Technically, "thoracic aneurysm" could refer to any of the arteries in the chest. The thoracic aorta is the most likely to have an aneurysm. ...Read more

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Is fever a symptom of aortic disection or aneurysm?

Is fever a symptom of aortic disection or aneurysm?

Yes: Yes but acute sudden onset of chest pain is the most important symptom also findings on cardiac auscultation and blood pressure readings. What is your concern? Read this http://www.medscape.com/viewarticle/442902_3 ...Read more

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Is having a leaking aortic valve related to an aortic aneurysm?

Is having a leaking aortic valve related to an aortic aneurysm?

Sometimes: Thoracic aortic enlargement and aneurysm can dilate the aortic valve annulus and leakage can occur. Also with aortic valvular stenosis, post stenotic dilation can occur. Abdominal aneurysms are not usually related to valve issues. ...Read more

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What type of doctor treats an abdominal aortic aneurysm?

Who fixes AAA: A vascular surgeon can offer endovascular or open repair depending on what's best for the person. ...Read more

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Is abdominal aortic aneurysm the same thing as aortic dissection?

Is abdominal aortic aneurysm the same thing as aortic dissection?

AAA v dissection: Not really; an aneurysm bulges due to a weakness in the artery wall. A dissection is a tear in one or more ( of the three) layers of the artery wall which continues in one or both directions. ...Read more

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What type of heart problem is senile calcific aortic stenosis?

What type of heart problem is senile calcific aortic stenosis?

Aortic stenosis: Restriction of opening of the aortic valve (valve between the heart and the circulation), due to deterioration of the valve over time, resulting in calcification and decreased opening. Common in older populations. Severe cases may require surgery to replace the aortic valve. ...Read more

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Is aortic aneurysm a common condition?

Is aortic aneurysm a common condition?

No but its not rare: Abdominal aortic aneurysms are more common than thoracic . An aneurysm is defined as an enlargement of the aorta 1.5 x the normal diameter. The incidence is around 37 per 100, 000 patient yrs. There is a 3% prevalence in those over 50 yrs old. Male to female ratio of 9 to 1. Risk factors hypertension, high cholesterol, smoking, diabetes, family history and age. ...Read more

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Can a regular echocardiogram detect an aortic dissection coming?

Can a regular echocardiogram detect an aortic dissection coming?

Not really : There is no test to tell u if u will develop dissection or not . Regular or trans-thoracic echo can detect dissection in the ascending part of the thoracic aorta but can't see other parts. Ct angiography, mra or trans-esophageal echo is better tests. ...Read more

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How serious is a bicuspid aortic valve?

How serious is a bicuspid aortic valve?

Needs to be followed: The normal aortic valve has 3 leaflets but the bicuspid valve only has 2. It is the most common valve congenital malformation. About 1-2%. The natural course is for the valve to get stiffer over time and not open wide enough. This is called stenosis. Most pts need aortic valve replacement by their 50-60's. Until that time though it should not have a significant impact. Need antibiotics for dental. ...Read more

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Where is an aortic aneurysm?

The aorta: The aorta is the large, main artery that carries blood from the heart. An aneurysm (a portion that dilates or expands to a larger than normal diameter) can occur anywhere along its length, from where it emerges from the heart in the chest (thoracic aortic aneurysm) to where it travels through the abdomen & splits into the iliac arteries (abdominal aortic aneurysm, or aaa) - or anywhere between. ...Read more

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Can aortic dissection be inherited?

Can aortic dissection be inherited?

Yes: If associated with inheritable collagen diseases. However, it is usually related to elevated blood pressure. ...Read more

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How serious is a 8cm iliac aneurysm?

How serious is a 8cm iliac aneurysm?

Very: Two reasons- it can send clot down the arteries and cause death of the leg resulting in amputation. It also may rupture. ...Read more

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Is a descending aortic aneurysm more dangerous than an ascending aortic aneurysm?

Depends: Aneurysms are dangerous because many people don't know they have them until they rupture. Screening is important for people over 65 with family history of aneurysm, smoking or htn. Ascending aneurysms and para visceral (upper abdomen) aneurysms are probably the most challenging to repair. ...Read more

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Aorta (Definition)

The aorta is the largest artery in the body, leaving directly from the left ventricle of the heart to supply blood to the entire body. It is made of elastic tissue layers called "intima" and is subject to damage by high blood pressure, smoking, cholesterol, ...Read more