Aortic dissection can be carried out surgically as well as medically. it is advisable if,
There is an aortic dissection i.e. affected area of artery. For a dissection of the descending aorta, Medication is option sometimes.
Repair of an aortic dissection accomplished as:
There are many ways to do dissection. The selection is depend location of the dissection., part of of your aorta needs to be repaired and replaced .it also depends on the state of health.
Pain can be described as sharp and even tearing
Pain can move to the shoulder, neck, arm, jaw, abdomen, or hips.
The pain often moving to the arms and legs.
Anxiety and a feeling of doom
Fainting or dizziness
Heavy sweating (clammy skin)
Nausea and vomiting
Pale skin (pallor)
Rapid, weak pulse
Shortness of breath and trouble breathing
There is Pain in the abdomen
Aortic dissections with medical evidence of the following conditions:
Propagation (increasing aortic diameter)
Increasing size of hematoma
Compromise of major branches of the aorta
Persistent pain despite adequate pain management
Bleeding into the pleural cavity
Development of saccular aneurysm
The required Cautions and also relative contraindications to surgery include the following:
Severe left ventricular dysfunction
Previous myocardial infarction (Significant arrhythmias
Severe valvular disease
In this, the incision is made over the breastbone allowing the access to the heart. Sometimes the repair involves replacing the damaged portion aorta with a tube. By stopping heart- beating during the operation, the operation is performed on a motionless and bloodless field; meanwhile a heart-lung bypass machine will maintain heart circulation.
In this patients having descending aorta are treated. It is minimally invasive procedure. It makes some of tiny incisions in blood vessels .long tubes are insert ted into the vessels at the location of dissection is carried out.
This surgery can sometimes be done with the patient with anesthesia; in addition, it does not require a heart-lung bypass machine. It results in faster healing.
It is used for operations on the part of the aorta i.e. aortic root. Which is very .close to the heart. In this there is replacement of the damaged portion of the vessel.it is suitable for patients whose aortic valve is repairable.
The risks of such surgery
patient's risk will be different depending on age and health status
Complications like a stroke, also happens
There is risk of infection is also there.
The typical recovery
The Patients feel surprised as it is to control their pain. On the second day after operation, patients are comfortable .they take only oral painkillers,
In many cases when minimally invasive surgery is suitable, as the time of the operation and the recovery period is very less.
Provide the following long-term care for patients:
follow-up check for some symptoms, like chest or back pain
proper blood pressure control
Check Routine chest radiographs
If dissection is suspected, consult a surgeon. As many patients having medical illness, concern department will provide patient's primary care. On time consultation is good. Also consult a radiologist.