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Surgery for Aortic Dissection, Aortic Aneurysm

Surgical intervention for Aortic Dissection and Aortic Aneurysm is critical in preventing life-threatening complications such as rupture or organ damage.

Aortic Dissection Surgery is performed when there is a tear in the inner layer of the aorta, allowing blood to flow between the layers, which can lead to rupture or reduced blood supply to vital organs. Type A dissections (involving the ascending aorta) require immediate open-heart surgery, where the damaged section is replaced with a synthetic graft. Type B dissections (affecting the descending aorta) may be managed with medications or treated with endovascular repair (TEVAR) using a stent graft to reinforce the aorta.

Aortic Aneurysm Surgery is recommended when an aneurysm (a weakened, bulging area of the aorta) reaches a dangerous size, increasing the risk of rupture. Treatment options include open aortic repair (OAR), where the diseased segment is replaced with a graft, or endovascular aneurysm repair (EVAR), a minimally invasive procedure where a stent graft is inserted via a catheter to reinforce the weakened area.

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Both surgeries require expertise in cardiovascular surgery and may involve cardiopulmonary bypass in open procedures. Early detection through imaging and timely surgical intervention significantly improve survival rates and long-term outcomes.

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