The Chest Institute of the Department of Medical Services warns patients with sudden and severe chest pain combined with tiredness and shortness of breath may be at risk of ruptured aorta. which if diagnosed late and not receiving treatment in time may lead to death
Dr. Wirawut Imsamran, Deputy Director-General of the Department of Medical Services Revealed that the aorta is an important blood vessel that carries blood from the heart to the various organs of the body. Aortic dissection is a life-threatening emergency. which can occur in all parts of the aorta from the beginning where there is an erosion break to the pole of the heart Blood vessels that feed the brain and arms Blood vessels that feed the liver and intestines blood vessels that feed the kidneys as well as down to the blood vessels that feed both legs causing symptoms to occur in many systems It is common in males aged 50-70 years, but can occur in the age group under 40 years in the group with diseases of the aortic wall abnormalities. The cause of the rupture of the aortic wall is still unknown. but is often associated with atherosclerosis (Atherosclerosis), high blood pressure, high blood fat, smoking, diabetes or abnormalities of the artery walls. from a syndrome with connective tissue disorders causing weak blood vessel walls, such as Marfan syndrome, Ehlers-Danlos syndrome
Dr. Anek Kanoksilp, Director of the Institute of Chest Diseases, Department of Medical Services, added that large arterial wall disease Aortic dissection. Patients often experience sudden, severe chest pain. There can be a variety of symptoms depending on the location of the erosive lesion. sometimes presents chest pain similar to acute myocardial infarction, fatigue, congestive heart failure Paralysis, paralysis of the arms and legs, weakness, pain in the arms and legs similar to a stroke, abdominal pain similar to inflammation of the abdominal organs or have acute renal failure The most common symptoms are: 1. Severe sudden chest pain that may radiate to the neck, arms, shoulder blades, back 2. Fainting, dizziness, palpitations, low blood pressure 3. Arm and leg weakness and severe leg pain 4. Severe abdominal pain 5. Shock, loss of consciousness, unconsciousness, etc.
Diagnosis, as the symptoms in some patients are not clear or resemble those of other diseases. This can result in delayed diagnosis. It may be detected accidentally on a chest X-ray. or doing ultrasound examination with high frequency sound waves But the definitive diagnosis is computerized tomography of the arteries. which helps in evaluating the severity of complications from vascular erosion to different locations and used as a tool for planning treatment or surgery in patients with indications for surgery
Guidelines for the treatment of eroded aorta depending on the location of the aortic rupture If it occurs at the location of the aorta exiting from the pole of the heart It is necessary to undergo emergency surgery. Because there is a high rate of serious, life-threatening complications from internal bleeding or leakage of the aortic valve together with acute myocardial ischemia from the ruptured wall that presses on the heart valves and squeezes the blood supply to the heart muscle Or there is bleeding in the pericardium that presses on the heart’s function, causing heart failure and death. The erosion breaks in other locations. of the aorta There are methods of treatment for both surgery. and drug treatment depending on the location of the disease which must be evaluated by a specialist in cardiovascular surgery In addition, surgery is a high-risk and complicated operation. Requires experienced physicians with expertise in specific diseases. requiring large amounts of blood
Treatment of spontaneous aortic stenosis will be assessed by the treating physician whether to use surgical or curative treatment. The use of medication depends on the location of the lesion. Currently, open surgery is used in conjunction with the use of artificial blood vessels through the catheter. Special operating room (Hybrid Operating room) in suitable patients can reduce complications. and shorten the time of surgery and recovery .-Thai News Agency
Source: Thai News Agency