The main preventable risk factor for an aortic dissection is high blood pressure (hypertension). Over time, hypertension weakens the aortic wall, making it more likely to have a spontaneous tear involving the inner lining of the aorta. The tear exposes the middle of the wall to very high aortic blood pressure. This creates a separation that unzips the aorta between the layers which are pulled apart by the dissection process, leading to the double-barrel flow pattern. Other risk factors for aortic dissection include: Marfan or Ehlers-Danlos syndrome, which are inherited disorders of blood vessels and connective tissues; presence of aortic aneurysm or enlargement of the aorta; a family history of aortic dissection; and certain heart conditions such as a bicuspid aortic valve. Aortic dissection may also occur as a complication of open heart surgery or heart catheterization, although this is very rare.
Aortic Dissection section was last modified: December 21, 2010 - 05:07 pm
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