Aortic rupture

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Aortic rupture is a critical and potentially fatal medical condition where the aorta, the largest artery in the human body, experiences a tear or rupture. This condition is often associated with trauma, aneurysm, or aortic dissection, and requires immediate medical attention.

Causes[edit | edit source]

The primary causes of aortic rupture include blunt trauma, aortic aneurysm, and aortic dissection. Other less common causes can include infection, connective tissue disorders, and vasculitis.

Trauma[edit | edit source]

Trauma is the most common cause of aortic rupture, particularly blunt trauma to the chest, such as in a car accident or a fall from a significant height. The sudden deceleration can cause the aorta to tear.

Aortic Aneurysm[edit | edit source]

An aortic aneurysm is a bulge in a section of the aorta. As the aneurysm grows, the aortic wall becomes thinner and weaker, increasing the risk of rupture.

Aortic Dissection[edit | edit source]

Aortic dissection is a condition where the inner layer of the aorta tears, causing blood to flow between the layers of the aortic wall, forcing the layers apart. This can lead to aortic rupture if not treated promptly.

Symptoms[edit | edit source]

Symptoms of aortic rupture can include severe pain in the chest, back, or abdomen, difficulty breathing, and loss of consciousness. However, symptoms can vary depending on the location of the rupture and the extent of the injury.

Diagnosis[edit | edit source]

Diagnosis of aortic rupture typically involves imaging tests such as a CT scan, MRI, or ultrasound. A Chest X-ray may also be used in emergency situations.

Treatment[edit | edit source]

Treatment for aortic rupture is typically surgical repair of the aorta. This can be done through an open surgery or an endovascular procedure, depending on the location and extent of the rupture.

Prognosis[edit | edit source]

The prognosis for aortic rupture is generally poor due to the rapid loss of blood and the risk of vital organs being deprived of oxygen. However, with prompt diagnosis and treatment, survival rates can improve.

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Contributors: Prab R. Tumpati, MD