Advanced diagnosis and treatment of aortic dissection by Dr. Jahromi Moghadam in specialized hospitals

What is aortic dissection?

Aortic dissection is one of the most dangerous cardiovascular emergencies. In this condition, the inner layer of the aortic wall tears, and high-pressure blood enters the middle layers of the aortic wall, creating a false channel. This can cause:

• Complete rupture of the aorta
• Reduced blood supply to the brain, heart, kidneys, and limbs
• Shock, heart attack, or sudden death

Therefore, rapid diagnosis and specialized treatment are vital for saving the patient's life.

Simple anatomy of the aorta

The aorta is the body's largest artery and carries blood from the heart to the entire body. It includes:

• Ascending aorta
• Aortic arch
• Descending aorta, thoracic and abdominal

Dissection can occur in any of these segments.

Types of aortic dissection

1. Stanford Type A aortic dissection

More common and much more dangerous

Involves the ascending aorta near the heart

Requires immediate emergency treatment

Without rapid treatment, mortality is very high.

2. Stanford Type B aortic dissection

Involves the descending aorta

In some cases it can be treated with non-surgical and endovascular methods

Treatment decisions are based on symptoms, complications, and the patient's condition

Causes and risk factors for aortic dissection

• High blood pressure, the most common factor
• Atherosclerosis
• Congenital heart diseases
• Marfan syndrome and connective tissue disorders
• Severe chest trauma
• Long-term smoking
• History of aortic surgery or interventions

Symptoms of aortic dissection

Symptoms can be sudden and very severe:

• Severe sudden chest or back pain, often described as tearing pain
• Pain radiating to the neck, back, or abdomen
• Low blood pressure
• Shortness of breath
• Loss of consciousness
• Stroke symptoms
• Reduced urine output due to kidney involvement

These symptoms require immediate emergency evaluation.

Diagnosis of aortic dissection

Accurate and rapid diagnosis is vital and includes:

Advanced diagnostic methods:

• CT angiography of the aorta (CTA), the preferred method
• Transesophageal echocardiography (TEE)
• Aortic MRI in selected situations
• Additional laboratory tests and hemodynamic monitoring

Initial diagnosis and follow-up are performed at Delban Specialized Cardiovascular Clinic in Mashhad.

Treatment of aortic dissection

Treatment choice depends on:

• Type of dissection, A or B
• Hemodynamic status of the patient
• Age and underlying diseases
• Presence of complications such as rupture or organ ischemia

1. Medical treatment

In selected cases, often uncomplicated Type B:

• Strict blood pressure control
• Reduction of heart rate
• Continuous patient monitoring

2. Advanced interventional and surgical treatment

Aortic dissection treatment by Dr. Seyed Mohsen Jahromi Moghadam

Performed in specialized hospitals in Mashhad, including:

• Razavi Hospital
• Javad Al-Aemeh Hospital

Treatment methods include:

• Endovascular treatment (TEVAR)
  • Placement of a stent graft inside the aorta
  • Minimally invasive, with a shorter recovery period

• Open aortic surgery in selected emergency cases

  
   

Effectiveness and benefits of aortic dissection treatment

• Saves the patient's life
• Prevents complete aortic rupture
• Improves blood supply to organs
• Reduces the risk of stroke and organ failure
• Improves quality and length of life

With modern techniques and Dr. Jahromi Moghadam's subspecialty experience, treatment results can be achieved at a very high level.

Who can benefit from this service?

• Patients with acute or chronic aortic dissection
• People with severe chest pain suspicious for aortic rupture
• High-risk patients with hypertension
• Patients who need advanced non-surgical treatment

Summary

Aortic dissection is a very serious but treatable disease, provided that:

• It is diagnosed on time
• It is treated by an experienced cardiovascular subspecialist
• Treatment is performed in advanced hospital centers

Diagnosis at Delban Specialized Cardiovascular Clinic, Mashhad

Treatment by Dr. Seyed Mohsen Jahromi Moghadam in specialized hospitals in Mashhad

Phone number for consultation: 05132042 - 09003204200