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Diseksi Aorta

Diseksi Aorta

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Published by octo01
aorta dissection
aorta dissection

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Categories:Types, School Work
Published by: octo01 on Aug 30, 2014
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Diseksi aorta

- Pemisahan lapisan pd dinding aorta ( ada robekan intima)

Patologi :
- Robekan vasa vasorum yang
berdarah ke dinding aorta
- erosi plak

Etiologi :
- hipertensi
- Kongenital aortic stenosis
- conn tissue disorder




Gejala :
- severe sudden chest pain
Diseksi  penurunan sirkulasi koroner  MI
- sakit bisa di dada anterior, intrascapular
- EKG normal
- Syncope, sesak, lemah (hemodinamik)

PF : hypertension or hypotension, loss of pulses, aortic regurgitation, pulmonary edema,
and neurologic findings due to carotid artery obstruction (hemiplegia, hemianesthesia) or
spinal cord ischemia (paraplegia). Bowel ischemia, hematuria, and myocardial ischemia
have all been observed. These clinical manifestations reflect complications resulting from
the dissection occluding the major arteries.

Diagnosis :
- ekokardiografi - aortografi
- CT
- MRI
- Rontgen (mediastinum widened)

Therapy : masuk ICU, Jika tidak hipotensi, kurangi kontraksi jantung dan tekanan darah
- adrenergic blocker
- sodium nitropruside : turunkan BP
- ca blocker jika 2 diatas KI
- ACE inhibitor

Tipe A harus dengan operasi buang flap, false lumen obliterasi, graft

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