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About The Surgery

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Aortic Dissection Repair Surgery

An aortic dissection is defined as a tear (dissection) in the wall of the aorta. The aorta pumps blood from your heart to the rest of your body. It is the main and most important artery of the body. Whenever a tear happens, it causes blood to get in between the aorta’s layers. The amount of oxygen sent to the other body parts is reduced. Any damage can be life-threatening, if the tear is on the ascending aorta. This part of the aorta supplies the blood to your head.

What are the Causes?

  • High blood pressure
  • Injury from an accident
  • Structural heart problems
  • Heavy smoking
  • Genetic conditions that are passed down in families

What are the Signs and Symptoms?

Even though it's difficult to distinguish between heart attack and aortic tear’s symptoms accurately, a few noticeable symptoms are mentioned below. It is recommended to go to the cardiac specialist as soon as possible.

  • Profuse sweating
  • Weakness or paralysis on one side of the body
  • Persistent breathlessness
  • Feeling of fainting
  • Trouble speaking
  • Pulse in one arm is comparatively weaker to other
  • Dizziness or disorientation

How the Diagnosis is Made?

A test called an electrocardiogram (ECG) scans the electrical activity of the patient's heart. Sometimes an aortic dissection can be mistaken for a heart attack on this test, and sometimes both conditions may coexist. X-ray, CT Scan, MRI and transesophageal echocardiogram are the main tests which are used to diagnose aortic dissection.

  • Contrast-enhanced CT (CECT) Scan
    A CT (CECT) scan is helpful in detecting cardiac abnormalities by enhancing the contrast between surrounding structures and the suspected lesion. In some cases, a lesion will be hypovascular compared to the normal tissue; in others, a lesion will be hypervascular to the surrounding tissue. A certain phase of enhancement has to be studied for the detection of the tear or lesion.
  • Chest X-ray
    Your doctor may recommend you to undergo a chest x-ray to for reasons like assessing injuries resulting from an accident and monitoring the progression of a disease. If you have been feeling chest pain lately, the first step should be visiting a cardiac specialist and then getting an x-ray done.
  • MRI Scan with Angiography
    MR angiography (MRA) utilises a strong magnetic field, radio waves and a computer to scan blood vessels. It is particularly useful in detecting cardiac issues which happen as a result of plaque deposition. This diagnostic method does not use ionising radiation, although injection of a contrast material called gadolinium may be required.
  • Transesophageal echocardiography (TEE)
    Unlike a standard echocardiogram, the echo transducer that generates the sound waves for TEE, attached to a thin tube, is passed through the patient's mouth, down his or her throat and into theoesophagus.

How is the Surgery Performed?

The solution to aortic dissection repair is open heart surgery.

  • The surgeon puts you under general anaesthesia
  • Once you are unconscious, an incision is made on the patient’s chest
  • Ribs and other organs are carefully moved aside
  • Medication is supplied to lower your blood pressure
  • Aorta is accessed and repaired
  • The clamps which were put to stop the blood from flowing into heart are removed
  • Small bleeding nerve branches are repaired
  • Once the repair is done, the blood thinning medicine is removed and the chest incision is closed

Post Surgery Risks and Complications

  • Extreme stress
  • complications that include
  • Death
  • Stroke
  • Heart attack
  • Pneumonia
  • Kidney failure
  • Wound pain
  • Urinary tract infection
  • Damage to the organs due to insufficient blood supply during surgery

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Hospitals

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Indraprastha Apollo

Apollo Hospitals is widely recognized as the pioneer of private healthcare in India, and was the country`s first corporate hospital. The Apollo Hospitals Group,

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Fortis Hospital

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Metro Hospital

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BLK Hospital

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Action Cancer Hospital

Action Cancer Hospital, founded by Lala Mange Ram Aggarwal, is the first state-of-the-art cancer care hospital in the heart of West Delhi.

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Denvax Clinics

DENVAX is dendritic cell based cancer immunotherapy.

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Artemis Hospital

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Fortis Escorts Heart Institute

Okhla Road, New Delhi - 110 025 (INDIA)

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Max Superspeciality Hospital Saket

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Columbia Asia

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Fortis Memorial Research Institute, Gurgaon

Fortis Memorial Research Institute (FMRI), Gurgaon

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Medanata The Medicity

CH Baktawar Singh Road, Sector 38, Gurugram, Haryana 122001

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Paras Hospitals Gurgaon

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Dharamshila Narayana Superspeciality Hospital

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Narayana Multispeciality Hospital

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Fortis Malar Hospital

Fortis Malar Hospital 52, First Main Road, Gandhi Nagar, Adyar Adyar Chennai 600 020

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Manipal Hospitals

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Apollo Hospital

No. 21, Greams Lane 320, Off. Greams Road, Chennai - 600006

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Gleaneagle Global Health city

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Seven Hills Hospital

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Wock Hardt Hospital

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Doctors

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Dr. Jamal A. KhanMBBS MD

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Dr. Nidhi RawalPaediatric Cardiology

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Dr. Manjinder SandhuPaediatric Cardiology

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Dr. I P S OberoiOrthopaedics

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Dr. Paritosh S GuptaGeneral & MI Surgery

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Dr. Rajesh K. VermaOrthopaedics

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Dr. Aditya GuptaAdditional Director – Neurosurgery

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Dr. S. V. KotwalMS General Surgery

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Dr. Sameer KaushalSr. Consultant

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Dr. Shashidhar TBHead and Neck surgeon

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Dr. Vikram Barua KaushikAssociate Urologist

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Dr. Sumit SinghDirector

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Dr. Viresh MahajanDirector - Pediatric Cardiology

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Dr. Sumeet AgarwalHead

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Dr. Subhash Jangid Senior Consultant

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Dr. Harsh WardhanSenior Consultant - Paediatric Surgery

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Dr. Nikhil AgnihotriSenior Consultant

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Dr.(Col.) Ranga Rao RangarajuDirector - Medical Oncology

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