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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

  • Stroke symptoms

Aortic dissections with medical evidence of the following conditions:

  • Propagation (increasing aortic diameter)

  • Increasing size of hematoma

  • Compromise of major branches of the aorta

  • Impending rupture

  • 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:

  • Cerebrovascular accident

  • Severe left ventricular dysfunction

  • Coagulopathy

  • Pregnancy

  • Previous myocardial infarction (Significant arrhythmias

  • Advanced age

  • Severe valvular disease

Open-heart surgery 

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.

Endovascular surgery

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.

Valve-sparing surgery 

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 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.

Long-Term Monitoring

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.

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Contact Info

Dr.Kuldeep Kumar Chulliparambil
Renai Medicity,
Palarivattom P.O.
Pin: 682025
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