Aortic Dissection
Journal Title: Biomedical Journal of Scientific & Technical Research (BJSTR) - Year 2017, Vol 1, Issue 4
Abstract
Aortic dissection occurs in 3 in 100,000 people per year. Tear in the inner side of aorta causes blood to flow between layers of aorta causing seperation of media layer into inner two third and outer one third. Dissection can be antegrade or retrograde. Symptoms96% of people will have chest pain with varying severity with or without radiation. Back pain, vomiting, sweating, headache, blood stained diarrhea, paralytic ileus, strokes and death Males are more affected than females. Males will have double incidence as females. Aetiology Hypertensions in 80% of patients were observed. A connective tissue disorder is also common. Bicuspid Aortic valve is seen in 7 to 14% of patients. 5 To 9% of patients has Marfan syndrome. Along with this Atherosclerosis, Trauma, Post cardiac surgery, Smoking, Cocaine abusers, pregnancy, Aortoarteritis, Turners syndrome, High intensity weightlifting, Syphilis are the other causes [1-7]. Diagnosis D dimer more than 500 ng/ml rules out Aortic dissection. Transoesophageal echocardiogram helps in diagnosing the sensitivity is 98% and specificity is 97%. Ultrasound of abdomen, computerized Tomography, Magnetic resonant Angiography will diagnose Aortic dissection, the sensitivity is 98% and specificity is 98%. This is being classified in to Stanford Type A. Where ascending and arch of aortas are affected. Stanford Type B...where ascending aorta is spared.
Authors and Affiliations
Jayesh V Trivedi
Keywords
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- EP ID EP569429
- DOI 10.26717/BJSTR.2017.01.000339
- Views 173
- Downloads 0
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