Can aortic dissection type 3 conservative treatment really recover?

With the continuous development of social economy, we will encounter all kinds of problems in real life, especially for aortic dissection type 3 conservative**Can it really be recovered? In fact, we have to know that the conservative ** may not be so good for the conservative ** case of aortic dissection type 3, and it should require surgery**, of course, we can follow the arrangements of the relevant doctors, if the doctor recommends that we be conservative**, then we accept the conservative**.

First of all, we have to understand such a problem, that is, for the disease of aortic dissection, the means and methods of different doctors are different, if when we accept the relevant **, the clinician advises us to be conservative**, then we can accept the conservative **, of course, when the doctor asks us to be conservative**, in fact, we can go, from many aspects for us to consider, including the recovery of the same aspect, what we need to do is to listen to the doctor's arrangement to us.

In addition, we must also understand that in fact, it is not particularly easy to be conservative for aortic dissection type III, because this disease has accumulated pathological changes, which need to be decided through surgery, of course, different doctors have different ideas, so we can also try to be conservative, after all, surgery is invasive, so there is still some harm to our body, if we can pass conservative In order to improve our body to a certain extent, then we can still go through conservative **, but it also depends on our physique, and people with strong physique recover faster.

To sum up, we can obviously know that aortic dissection type 3 is conservative**, not necessarily able to recover very well, but we can follow the doctor's relevant advice, if the doctor requires us to carry out relevant conservative**, then we accept the corresponding conservative**, which is still very good for us.

The probability of recovery is not large, but the blood pressure must be controlled, the heart rate can not be fast, and the consequences are very serious, and the consequences can be very serious under the guidance of the doctor.

The most important thing is to cooperate with the doctor's method, follow the doctor's correct instructions, and actively exercise to improve the body's resistance, so as to be able to cooperate with the doctor's instructions.

Yes, so at this time, you must actively cooperate with the doctor's advice and guidance, and you also need to pay attention to the reasonable combination of diet, and you should also take some medicines, you must strengthen exercise, you must go to bed early and get up early, and you must drink more water.

I think the possibility of recovery is very high, but it is not absolute, and there is no guarantee that it will be fully recovered, and the probability of recovery is about 89%.

Question 1: Can aortic dissection hematoma be cured Aortic dissection is a critical and serious disease, relatively speaking, the results are not very good, and most patients do not survive. For intramural hematoma, whether it is aggressive surgery or conservative ** is still controversial, but no matter what ** measures are taken, blood pressure control is the top priority, and the treatment in the early stage of the disease is to lower blood pressure, sedation, analgesia, and avoid emotional, active, etc. **Blood pressure fluctuations.

The prognosis of intramural aortic hematoma is relatively better than that of large-scale dissection, but it is impossible to completely return to normal, after all, the structural basis of dissection (the abnormality of the blood vessel itself) cannot be changed, and it is relatively complete to replace the blood vessel, but needless to say the risk is greater. Therefore, for your problem, it can only be said that it is conservative ** is also a ** way of the disease, if it develops in a good direction, then when the hematoma thrombosis is organized, after a period of time, the possibility of rupture of blood vessels will be significantly reduced.

Question 2: The latest and best method of thoracic aortic dissection Aortic dissection, also known as aortic dissection aneurysm, is one of the more common, complex and dangerous cardiovascular diseases. In fact, the biggest threat of aortic dissection is that the patient's blood vessels may rupture at any time, eventually leading to the death of the patient, this disease is like a time bomb hidden in the patient's body, aortic dissection is also known as the "whirlwind killer" of macrovascular disease.

Dean Chen Xiaozhong pointed out that if the disease is not carried out early, it will cause great harm to the body, and it can be fatal.

Question 3: If the aortic dissection is cured, how many years can I live depends mainly on the patient's physique and whether there are complications after surgery.

If there is nothing, even a 70-year-old man will have no problem living to 80.

Question 4: Can the Mayo Clinic cure aortic dissection Hello! Aortic dissection can be cured and requires surgery.

Dear family members of patients: aortic dissection is a more dangerous disease, the mortality rate is very high, relatively speaking, type III aortic dissection is a small risk point, recommendation one, strictly control blood pressure, 120 80 or less, heart rate control below 80 minutes, regular reexamination, if the dissection thrombosis does not need surgery, if it continues to expand, the annual increase is greater than centimeters then surgery is needed to prevent rupture.

Shi Tianxiong of Zhongshan People's Hospital.

Aortic dissection can be done with three methods: medication, surgery and intervention. The following is an introduction to the ** method of aortic dissection, I hope it will be helpful to you:

Aortic dissection**.

If the disease is suspected or diagnosed, it should be hospitalized for monitoring**. The goal of aortic dissection** is to reduce myocardial contractility, slow down left ventricular contractility (DV DT), and peripheral arterial pressure. The goal of aortic dissection** is to keep systolic blood pressure under control at a heart rate of 60 to 75 minutes.

This effectively stabilizes or aborts the further separation of aortic dissection, relieving symptoms and eliminating pain. It is divided into two stages: emergency and consolidation.

a) Emergency** Pain relief: with morphine and sedatives. Replenishment of blood volume:

Bleeding into the pericardium: transfusion in patients with ruptured chest or aorta. Buck:

For patients with hypertension, propranolol 5mg intravenous intermittent administration and sodium nitroprusside intravenous infusion for 25 to 50 g min can be used to adjust the drip rate and reduce blood pressure to the clinical ** index. Significant reduction or disappearance of pain after a drop in blood pressure is a clinical indication for dissection dissection to stop expanding. Other drugs such as verapamil, nifedipine, captopril, and prazosin are options.

Reserpine is also effective as intramuscularly every 4 to 6 hours. In addition, labetalol can be used, which has a dual blocking effect and can be given intravenously or orally. The issues to be aware of are:

In hypertensive patients with large branch obstruction of the aorta, antihypertensive blood pressure should not be used because antihypertensive can aggravate ischemia**. Antihypertensive drugs are not used in patients with low blood pressure, but propranolol can be used to reduce myocardial contractility.

2) Consolidation** Surgery should be performed on patients with proximal aortic dissection, ruptured or near-ruptured aortic dissection, and aortic regurgitation**. For slowly developing and distal aortic dissection, internal medicine can be continued**. Maintain systolic blood pressure, if the above drugs are not satisfied, captopril 25 50 mg can be added 3 times a day, orally.

c) Surgery**.

Stanford Type A (equivalent to Debakey Types I and II) requires surgery**. Debakey type I surgery is ascending aorta + aortic arch artificial vascular replacement + modified stent elephant trunk surgery. Debakey type II surgery is a ascending aortic prosthetic vascular replacement.

If there is aortic regurgitation or coronary artery involvement, aortic valve replacement and bentall are indicated'Surgery.

iv) Intervention**.

Percutaneous stent grafting and, if necessary, surgical procedure is the preferred procedure for Stanford type B (equivalent to Debakey type III).

It can be treated, but it depends on the severity and location of the occurrence.

1.Surgery**. Debakey type I surgery is ascending aorta + aortic arch artificial vascular replacement + modified stent elephant trunk surgery.

Debakey type II surgery is a rising aortic prosthetic vascular replacement, and if there is aortic regurgitation or coronary artery involvement, aortic valve replacement and bentall are required'Surgery.

2.Intervention**.

Percutaneous stent grafting and, if necessary, surgical procedure is the preferred procedure for Stanford type B (equivalent to Debakey type III).

Recommendation: Aortic dissection** option.

For acute and chronic debakey, dissecting aneurysms.

Surgery as soon as possible, i.e., replacement of the ascending aorta and/or aortic arch prosthetic vessels, is the best option. The long-term effect is more than 80% 5-year survival. For some Debakey dissection aneurysms (the rupture has formed a thrombus in the false lumen of the descending aorta and ascending aorta) and acute and chronic Debakey dissection aneurysms, interventional aneurysms have emerged in recent years, that is, the use of stent-type artificial blood vessels to close the rupture and spontaneously form thrombus in the pseudolumina, thereby greatly reducing the mortality and complications of traditional surgery, and has become the first choice in large central hospitals.

Surgery is less invasive, patients recover quickly, and its application is becoming more and more extensive.

Aortic dissection** EffectAortic aneurysm surgery is a high-risk procedure.

The surgical success rate of debakeyi and type II dissection aneurysms is more than 90%. For patients with cardiac, pulmonary, renal, and hepatic insufficiency or elderly patients, the risk of surgery is greater, and the mortality rate can be as high as 30%.

The safety profile of stent vascular implantation for Debakey type III dissection aneurysms is high. The surgical mortality rate is about 5%.The complication rate is about 10%.

Aortic dissection passes naturally.

The natural course of aortic endarteria is very sinister, and if not diagnosed in time, the mortality rate is extremely high. 25% of patients who are not reported to be timely** die within 24 hours; 50% die within a week; 75% of patients die within a month; 90% of deaths within a year, 3 of 4 deaths are due to dissecting dissection that breaks into the pericardium to form pericardial tamponade or death due to massive hemorrhage into the trachea, bronchial system or esophagus or rupture into the thoracic cavity. The incidence of ruptured chronic aortic dissection is high, with a 5-year survival rate of only 10-15%.

Indications for aortic dissection surgery**.

Dissecting aneurysms of both ascending and descending aorta should be operated or intervened if they have the following conditions**

1) Acute debakey and aortic dissection.

2) Patients with acute aortic dissection whose pain cannot be controlled with medication or high blood pressure.

3) Those who have symptoms and symptoms of continuous development of invasion of vital organs (heart, brain, kidneys).

1.Aggressive blood pressure control with systolic blood pressure of 100-110 mmHg.

2.Actively control your heart rate, aiming for around 60 beats.

3.Adequate analgesia and sedation.

4.Symptomatic management. Observe whether the dissection has progressed, such as the impact on the arteries of the lower extremities, renal arteries, mesenteric arteries, etc. If there is progression, aggressive surgery should be done.

To control blood pressure, try to avoid ACE inhibitors unless it is certain that the patient is using *** without cough. Avoid ruptured aneurysms due to coughing that increases blood pressure.

Aortic dissection, this is really powerful, once rupture, the chance of death is very high, and many times there is no chance of rescue at all. Given the patient's history of hypertension and the presence of back pain, clinical suspicion of aortic dissection is warranted. Thoracic and abdominal aortic CT scan + contrast scan can be done to determine whether there is aortic dissection.

Don't be too expensive.

For aortic dissection, there are conventional surgical procedures and interventions, and the surgical operation is to remove the diseased aorta and replace it with an artificial aorta. Intervention** is the implantation of a stent graft to close the breach of aortic dissection. This kind of surgery can only be performed in large general hospitals, and it must be a hospital with specialized vascular surgery, not a prefecture-level hospital.

You can follow up.

There are vascular surgeries in large hospitals, and they look at it and decide on the best plan according to the situation.

Prepare money, hundreds of thousands.

The methods of aortic dissection mainly include conservative, interventional, and surgical. Among them, endovascular interventional repair technology enriches the best means of aortic dissection, and reduces the invasiveness of the operation and increases the safety. After the patient is properly stabilized, the choice of modality depends mainly on the type of dissection.

As far as the current situation is concerned, for Stanford B aortic dissection, minimally invasive endoluminal is the mainstay. ** Depending on the following, or indications for surgery: continued enlargement of the dissection, manifested by rapid increase in the diameter and extent of the aortic dissection, chest hemorrhage, uncontrollable pain; or major branches of the aorta, such as superior mesenteric artery or renal artery ischemia.

Traditional minimally invasive endovascular repair of aortic dissection technically requires at least an anchored area on the aorta to prevent incomplete proximal closure and endoleakage. However, with the improvement of endovascular repair equipment and advances in endovascular repair technology, this indication has been expanded to allow for Stanford B-type aortic dissection within the opening of the left subclavian artery by hybridization or various endoluminal repair techniques (chimney, fenestration, modular branch stent).

For endovascular repair of Stanford type A aortic dissection with a tear in the ascending aorta, stent grafts have been placed in the ascending aorta to isolate the proximal dissection tear, but this procedure requires specific anatomical conditions. Ascending aortic replacement is performed in the acute stage, and Sun's surgery is still the main method of type A aortic dissection.