Aortic Disease

Causing Chest Discomfort or Pain

Aortic Disease

  1. Thoracic Aortic Aneurysm
    • Asymptomatic, or
    • Dysphagia (compression of esophagus)
    • Hoarseness (compression or recurrent laryngeal nerve)
    • Pain that radiates into back or chest

  2. Aortic Dissection – intimal tear of the aorta with spread of subinimal hematoma in aortic wall.

    aortic dissection

    Histopathological image of dissecting aneurysm of thoracic aorta in a patient without evidence of Marfan's trait. The damaged aorta was surgically removed and replaced by artificial vessel.

    Copyright (c) 2006 KGH

    Permission is granted to copy, distribute and/or modify this document under the terms of the GNU Free Documentation License, Version 1.2 or any later version published by the Free Software Foundation; with no Invariant Sections, no Front-Cover Texts, and no Back-Cover Texts. A copy of the license is included in the section entitled "GNU Free Documentation License".

    Aortic dissection (continued)

    • Acute onset of tearing or ripping pain in chest, back, and/or neck.
    • Pulse deficit
    • Blood pressure differential (a greater than 20 mm Hg difference in systolic pressure) between the left and right arm.
    • Also at times:
      1. Migratory pain
      2. Focal neurologic signs
      3. Acute renal failure
      4. Aortic regurgitation
      5. Hypertension
      6. Loss of pulses in arms
      7. Myocardial infarction due to dissection into coronary artery
      8. Pericardial tamponade due to rupture into pericardium
      9. May be a catastrophic event

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