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Aortic aneurysm - dissecting
The goal of treatment is to prevent complications. Hospitalization is required.
Type A aortic dissections require immediate surgery to repair the aorta. Type B aortic dissections may be treated with medication first.
Drugs that lower blood pressure may be prescribed. These drugs may be given through a vein (intravenously). Strong pain relievers are usually needed. Heart medications such as beta-blockers may reduce some of the symptoms.
If the aortic valve is damaged, valve replacement is necessary. If the heart arteries are involved, a coronary bypass is also performed.
Aortic dissection is life threatening. The condition can be managed with surgery if it is done before the aorta ruptures. Less than half of patients with ruptured aorta survive.
If you have symptoms of aortic dissection or severe chest pain, call 911 or your local emergency number, or go to the emergency room as quickly as possible.
Poonyagariyagorn H, Hook M, Bhatt DL. Cardiovascular emergencies. In: Cleveland Clinic: Current Clinical Medicine 2009. 1st ed. Philadelphia, Pa: Saunders Elsevier;2008:chap 14.
Ankel F. Aortic dissection. In: Marx JA, ed. Rosen's Emergency Medicine: Concepts and Clinical Practice. 7th ed. Philadelphia, Pa: Mosby Elsevier;2009:chap 83.
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