Dissection of the aorta
Which are the symptoms?
Aortic dissection causes pain, usually sudden, sharp, and described as tearing or laceration. Pain is usually felt in the chest, but often also in the back, between the shoulders. Pain often occurs along the dissection pathway as it progresses along the aorta.
- chest or retrosternal, abdominal and/or lumbar pain
- difficulty in breathing
- renal failure
- heart failure
How is it diagnosed?
Patients with the described symptoms are at high risk for suspicion of aortic dissection and should undergo imaging tests.
How is it treated?
All patients with acute aortic dissection should be initially treated in the intensive care unit with adequate monitoring of vital parameters such as heart rate, blood pressure, and respiratory rate. Surgical treatment depends on the location of the dissection and complication factors. Operation can be performed by open surgery or endovascular method.