Do people with dissecting aortic aneurysm have a lot of pain?

Most. Most patients with a dissection aortic aneurysm have a sensation of tearing in their chest that is painful and distressing. However, between 5-15% of patients with aortic dissection have a painless dissection, making detection more difficult. Unexplained hypotension with dyspnea and heart failure usually lead to a diagnostic echocardiogram... But missed diagnosis are common in this group.

Related Questions

What is the best treatment for dissecting aortic aneurysm?

Hospitalization. Acute dissection of an aortic aneurysm in the chest requires emergency care. There are different types, but dissection of an ascending aortic aneurysm will fatal over 90% of the time in hours to days unless treated with emergency surgery. Acute dissection of the descending aorta may be treated with surgery or medical care depending on the circumstances, but always requires hospitalization. Read more...
Depends on . Location. Ascending aortic dissection usually needs surgery. Descending aortic dissection can be managed medically. Keep BP under control. Some need surgery or stent graft placement. Read more...

Which treatment works the best and fastest for dissecting aortic aneurysm?

TO THE O.R.! Aortic dissection may be treated with medical management or emergent surgery. With the improvement of endovascular grafts, surgical repair seems more common. A vascular surgeon will advise based on anatomy and location of dissection, vessels/organs involved. I've seen a few interventional radiologists do things also. Most important is immediate evaluation! Read more...