AD Treatment

Treatment options for Aortic Dissection

In all cases, the first treatment for patients with aortic dissection is aggressive control of blood pressure with medications, usually given through an intravenous line (IV). Patients with aortic dissection are generally monitored in the intensive care unit. A team of experts cares for patients with aortic dissection, including emergency medicine physicians, cardiac and vascular surgeons, cardiologists, radiologists, and internal medicine specialists. The treatment of aortic dissection depends upon a number of factors, including the location of the tear in the aortic wall, how much of the aorta is involved, the effects of the dissection on the branch vessels of the aorta and the perfusion of the organs, and the patient’s symptoms. For patients with aortic dissection who require invasive treatment, surgery to repair the dissected portio of the aorta is generally the recommended treatment. In some cases, minimally invasive stenting procedures can be used to treat aortic dissection.

For all patients who have an aortic dissection long-term follow-up with a physician is a very important part of treatment. Blood pressure and heart rate need to be carefully monitored and controlled with medications. For many patients, CAT scans or MRI scans will be repeated at regular intervals (such as every 6 months or every year) to monitor the size of the aorta and the status of the dissection.

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