Which drug is used to manage a patient with a dissecting aneurysm?

Beta blockers are often the first treatment for a type B aortic dissection. These medications reduce blood pressure by blocking the effects of the hormone epinephrine, or adrenaline. This relaxes the heart, slowing it down.

Is aortic dissection an emergency?

Aortic dissection is a medical emergency. Early diagnosis and treatment are important. Over time, the tear can affect your brain, lungs, arms, legs, and heart.

Can you survive a dissecting aorta?

Aortic dissection is life threatening. The condition can be managed with surgery if it is done before the aorta ruptures. Less than one half of people with a ruptured aorta survive. Those who survive will need lifelong, aggressive treatment of high blood pressure.

What are the chances of surviving an aortic dissection?

Short-term and long-term survival rates after acute type A aortic dissection (TA-AAD) are unknown. Previous studies have reported survival rates between 52% and 94% at 1 year and between 45% and 88% at 5 years.

How long can you live with an aortic dissection without surgery?

Actuarial survival is 74% at 1 and 2 years for those treated without initial operation (P=. 42). Only 1 medically treated patient died following discharge from the hospital during the follow-up period; the cause of death was a suspected extension of the aortic dissection.

Do you need surgery with aortic dissection?

Aortic dissection is a very complicated condition. Untreated, an aortic dissection can lead to death. A dissection that involves the ascending aorta almost always requires emergency open-heart surgery to repair the vessel and prevent death.

Can aortic aneurysm be treated without surgery?

Purpose: The endovascular treatment of the thoracic aorta is an effective alternative to open surgical repair and offers a therapeutic option even to patients at high risk for surgery.

Which beta blocker is best for aortic dissection?

Intravenous propranolol, metoprolol, labetalol, or esmolol are suggested as excellent choices for initial treatment. In patients who are unable to tolerate beta-blockade, non-dihydropyridine calcium channel antagonists (verapamil, diltiazem) were suggested to offer acceptable, although less-established, alternatives.

Can aortic dissection be treated with medication?

Medications. Medications are given to reduce heart rate and lower blood pressure, which can prevent the aortic dissection from worsening. They may be given to people with type A aortic dissection to control blood pressure before surgery.

How long does aortic dissection surgery take?

A typical open-heart procedure takes from 4 to 6 hours, in some cases up to 8 hours; patients are then maintained under general anesthesia for an additional 4 to 6 hours.

What is the best treatment for aortic dissection?

Shock position to try and keep patient somewhat stable.

What causes a dissecting aneurysm of the aorta?

High blood pressure

Is there any natural treatment for aortic dissection?

Medical management of Aortic dissection is usually focused in lowering blood pressure and reducing shear-force dP/dt. For this reason, vasodilators combined with a beta blocker is used to reduce shear stress. Calcium channel blockers are also effective in treating Aortic dissection.

Does aortic dissection have a cure?

Treatment for type A aortic dissection may include: Surgery. Surgeons remove as much of the dissected aorta as possible and stop blood from leaking into the aortic wall. A synthetic tube (graft) is used to reconstruct the aorta.