Aortic Dissection
The aorta is structurally composed of three layers. In aortic dissection, these layers separate due to internal tearing and blood leaks through the aorta. As a result, the circulation of vital organs such as the heart, brain and kidneys may be impaired. Aortic Dissection Surgery may be preferred as a treatment method in these cases.
There are various classifications of aortic dissections. In the most commonly used classification today:
- Type 1 dissection: If a rupture has occurred along the aorta
- Type 2 dissection: Rupture of the ascending aorta only
- Type 3 dissection: If ruptured after the subclavian artery
Aortic Dissection Surgery
Aortic dissection is a highly fatal disease. Up to 25% of patients die at the first onset of dissection and without surgery, 1% of patients die every hour. Therefore, aortic dissection is a disease that requires urgent treatment. The most important symptom of aortic dissection is very severe tearing chest pain. This pain can sometimes be mistaken for a heart attack. The pain is usually felt at the site of the tear. However, it can also radiate to the back, neck, jaw, teeth and arms. Depending on the extent of the tear, paralysis, blindness, fainting, coldness in the arms or legs, shortness of breath and sweating may occur.
In aortic dissection surgery, treatment is chosen according to the location of the dissection. Surgery is the only treatment option for dissections in the ascending aorta. For dissections in the descending aorta, closed (endovascular) treatment may be an option.