Hyderabad, July 29 (NSS): “Aortic dissection is a condition caused by a tear in the inner lining of the aorta.  It is a potentially life-threatening condition in which there is bleeding into and along the wall of the aorta, the major artery carrying blood out of the heart. The pain experienced by the patient is the first symptom of the condition. The pain starts suddenly and it is usually described by the patient as tearing, ripping or stabbing.  This is in contrast to the pain normally associated with heart attacks”.

Talking to mediapersons today, Dr M. Gopichand, Chief Cardiothoracic Surgeon and Managing Director of Star Hospitals said that Aortic dissection is common catastrophe of the aorta.  When left untreated, 33% patients die within 24 hours, 50% in 48 hours. Even best of medical care and treatment may not save patients. Aortic dissections resulting in rupture has 80% mortality rate and 50% of patients die before they reach the hospital, he added. Blood may leak from the dissection and collect in the chest and around the heart. Aortic dissections require immediate surgery to repair the aorta, he informed.

In an unusal effort, the cardiac and vascular surgeons at Star Hospitals performed a unique and highly risky Hybrid Surgical Stent Procedure for the first time in the State on a 40-year-old patient from Kukatpally in the city, Dr Gopichand said, adding that middle aged men in late forties and fifties are victims of the aortic dissection. Aortic dissection occurs in approximately two out of every 10,000 people and most often seen in men aged between 40 and 70.

He said Aortic dissection is associated with hypertension (high blood pressure) and many connective tissue disorders. Over 70% of cases are associated with high blood pressure. Vasculitis (inflammation of an artery) is rarely associated with aortic dissection and it can also be the result of chest trauma. Under this procedure the risk of life is minimised. Only a few cases have been treated in India with this technique. It has less mortality.  The cost of the procedure may range between Rs 13 lakhs to Rs 15 lakhs depending on the condition of the patient, he added. (NSS)



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