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Treatments and drugs
By Mayo Clinic staffAn aortic dissection is a medical emergency requiring immediate treatment. Therapy may include surgery or medications, depending on the area of the aorta involved.
Type A aortic dissection
Type A aortic dissections are the more common and dangerous type of aortic dissection. These dissections involve a tear in the ascending portion of the aorta just where it exits the heart or a tear extending from the ascending portion down to the descending portion of the aorta, which may extend into the abdomen. Surgery is the preferred treatment for type A aortic dissections.
During the surgical procedure, surgeons remove as much of the dissected aorta as possible, block the entry of blood into the aortic wall and reconstruct the aorta with a synthetic tube called a graft. Some people with type A aortic dissection will need to have their aortic valve replaced at the same time if there's valve leakage related to the damaged aorta. If aortic valve replacement is required, the valve is placed within the graft that is used to reconstruct the aorta.
Type B aortic dissection
This type of aortic dissection involves a tear in the descending aorta only, which may also extend into the abdomen. People with type B aortic dissection can be treated medically or with surgery. Surgical options for type B aortic dissection are similar to the procedures used to correct a type A aortic dissection. Sometimes stents — small wire mesh tubes that act as a sort of scaffolding — may be placed in the aorta to repair type B aortic dissections.
Medications for aortic dissection
Aortic dissections may be treated with medications, such as beta blockers and sodium nitroprusside, to relieve the force of blood on the aortic wall by reducing the heart rate and lowering blood pressure. With reduced blood force, the aortic dissection is less likely to worsen. These medications may be used to prepare a person for surgery. Most people with type B dissections can be treated with medications alone.
After treatment many people with aortic dissections need to take blood pressure lowering medication for the rest of their lives. In addition, they'll often need follow-up CT or MRI scans every six to 12 months to monitor their condition.
- Rapp JH, et al. Blood vessel & lymphatic disorders. In: McPhee SJ, et al. Current Medical Diagnosis & Treatment. 48th ed. New York, N.Y.: McGraw-Hill Medical; 2009. http://www.accessmedicine.com/content.aspx?aID=777652. Accessed Sept. 4, 2009.
- Austin JJ. Aortic dissection. In: Hall JB, et al. Principles of Critical Care. 3rd ed. New York, N.Y.: McGraw-Hill Medical; 2005. http://www.accessmedicine.com/content.aspx?aID=2286477. Accessed Sept. 4, 2009.
- Manning WJ. Clinical manifestations and diagnosis of aortic dissection. http://www.uptodate.com/home/index.html. Accessed Aug. 18, 2009.
- Creager MA, et al. Diseases of the aorta. In: Fauci AS, et al. Harrison's Principles of Internal Medicine, 17th ed. New York, N.Y.: McGraw-Hill Medical; 2008. http://www.accessmedicine.com/content.aspx?aID=2880207. Accessed Sept. 4, 2009.
- Ehlers-Danlos syndrome. Genetics Home Reference. http://ghr.nlm.nih.gov/condition=ehlersdanlossyndrome. Accessed Sept. 4, 2009.
- ABCs of preventing heart disease, stroke and heart attack. American Heart Association. http://www.americanheart.org/presenter.jhtml?identifier=3035374. Accessed Sept. 4, 2009.
- Grogan M (expert opinion). Mayo Clinic. Rochester, Minn. Sept. 15, 2009.
