Patient Engagement and Decision-MakingClinical Assessment Criteriaaortic aneurysmaortic dissectionchronic aortic dissectionsurgeryaorta
Do I need surgery for Chronic Aortic Dissection?
While not all patients will require surgery, it is important to know when and if you need surgery for AD. Most chronic AD operations will be for aortic aneurysm and this will help you understand the timing of such repair
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Patients with chronic aortic dissection may need surgery for mainly aortic aneurysm. Over time, patients with aortic dissection or chronic aortic dissection, the false lumen tend to grow in size and gradually reaches a level that might prompt treatment. In the chest, this level is six centimeters. In the abdomen, it's five and a half centimeters. Of course, a thorough discussion with the patient needs to happen about the extent of the operation, what kind of operation, what the patient wishes to have, what's the quality of life intended before or after surgery. So there are all parameters beside the size of the aorta that determine whether a patient should or should not get an operation.
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