Aortic dissection

Alternative names:

aortic aneurysm (dissecting)

Treatment:

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

Antihypertensives may be prescribed to reduce blood pressure. These may be given through a vein (intravenous). Analgesics may be needed for pain. Cardiac medications such as beta-blockers may reduce some of the symptoms.

Surgical repair or replacement of the section of aorta is curative.

Expectations (prognosis):

Aortic dissection may be life threatening. The disorder is curable with surgical repair if it is performed before aortic rupture. Less than half of the patients with ruptured aorta survive.

Complications:

• bleeding from the aorta
• aortic rupture causing rapid blood loss, shock, death
• clot formation
• insufficient circulation past the area of the dissection
• irreversible kidney failure
• stroke
• myocardial infarction (tissue death)
• cardiac tamponade

Calling your health care provider:

If symptoms indicate aortic dissection may be present or severe chest pain develops, call the local emergency number (such as 911) or go to the emergency room.