Creating a Climate of Hope, an Atmosphere of Caring, and Information for All
Thoracic Aortic Disease (TAD) - Emergencies
Emergencies
When aortic disease is known to be present, with proper care there should be a significant
reduction in the number of emergencies.
Medically maintaining lowered blood pressure is aimed at preventing emergency situations.
In an emergency, the odds of injury and death due to aortic dissection or rupture increase
significantly.
•
When chest and/or back pain or other symptoms are present and there is no
evidence of a heart attack, a CT scan of the aorta using intravenous contrast
should be done. Alternatively, a high quality transesophageal echocardiogram
(TEE) may also be equally informative.
•
Quickly finding out if an aortic aneurysm or dissection is present or not can
make the difference between life and death.
•
The aorta itself "feels" pain that should not be ignored. Pain or feelings of pressure in
the chest and back may come from the aorta, even if it has not dissected. This
usually occurs with elevated systolic blood pressure (symptomatic aorta).
•
Medically, lowering blood pressure removes stress on the wall of the aorta and may
relieve aortic pain.
•
Aortic pain and other aortic-related symptoms (such as pressure in the chest) are not
due to anxiety. Anyone may be understandably anxious when experiencing chest
pain. However, anxiety is most likely not the primary cause of the symptoms when
aortic disease is present.
No Second Chance
Undiagnosed TAD May
Take Life Suddenly
How many deaths are due
to aortic rupture each
year? Because it is easily
confused with a heart
attack in the absence of an
autopsy, the true incidence
is unknown.
Because there was an
autopsy, it is known that
Doug Grieshop’s aorta
ruptured in his chest when
he collapsed and died at
the age of 33. He also had
an undiagnosed BAV.
Doug went to the ER with
chest pain, 18 months
before his death. A heart
attack was ruled out, but
his aorta was not checked.
One morning at work,
aortic rupture took his life
almost instantly.