Aortic rupture is an super dangerous and rarefied term where there is break or rupture of the aorta ; which is the big artery in the physical structure . The commonest cause of ruptured aorta is spontaneous rupture ofabdominal aortic aneurysm .
aortal rupture is different from aortic dissection . In aortal dissection there is a tear in the intimate wall of the aorta , which can hinder or block the line flow through the aorta to the heart or abdominal organ .
Depending on its cause , an aortic rift is classified into 2 types :
Signs & Symptoms of Ruptured Aorta
Causes of Ruptured Aorta
Ruptured aortal aneurism is the most common drive of rupture of the aorta . Other movement let in any injury or trauma and iatrogenic causes , i.e. procedure - related causes .
Pathophysiology of Ruptured Aorta
The aortic wall is pliable in nature and require unity to continue intact . Rupture occurs as a solvent of decrease in the strength of the wall where the systemic pressure is more than the rampart strength , or any outside end or damage to the wall of the aorta , such as by any hurt or tumor . The bleeding which occurs can be intraperitoneal or retroperitoneal . The rupture can also make an aortointestinal ( between the aorta and intestine ) or aortocaval fistula .
Investigations for Ruptured Aorta
Aortic rupture or a ruptured aorta is unremarkably suspected when it is too late and patient is close to death either with abdominal injury or other risk of exposure - divisor . Ultrasound or CT scan helps in substantiate the diagnosis .
Treatment for Ruptured Aorta
operation is needed to indemnify a ruptured aorta . This surgery can be either done using endovascular therapy ( EVAR ) or as an open aortic surgery . no matter of the cause , the aortic rupture is revive just as the repair of non - ruptured aortic aneurysms is carry out . Before the generalisation of anesthesia , an aortic occlusion balloon can also be put for stabilize the patient and to keep more stock loss .
Prevention of Ruptured Aorta
If aortal aneurysm is suspect , then to forestall it from rupturing , it is treated prophylactically before any symptoms start . Once there is developing of aneurism , then it does not diminish in size with medicines and surgery is the only discussion available ; it can be either receptive aortal surgery or endovascular aneurysm repair ( EVAR ) .
Prognosis of Ruptured Aorta
The medical prognosis of ruptured aorta is not good with the mortality rate being around 90 % . More than half of the patients die before they even come at the infirmary and around 90 % of them decease even before reaching the operating room .
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