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Saving Lives: Treating a Rare Aorta Condition

CT scan of an aortic dissection
CT scan of an aortic dissection
Aortic dissection is a rare but potentially fatal condition in which bleeding occurs in the aortic wall. Rajiv Ranjan, M.D., a cardiologist at Faith Regional CardioVascular Institute, recently had the rare opportunity to diagnose and treat a patient with this condition at Faith Regional.

The aorta is the main artery in the body and helps supply blood to the entire body. When a defect in the aorta develops, blood pressure can force the tear to open and allow blood to pass through. If the condition is left undiagnosed, it proves fatal to 33 percent of patients within the first 24 hours and 50 percent of patients within 48 hours.

“High clinical suspicion, appropriate investigation, and immediate intervention provided in a timely manner may save patients with this disease,” stated Dr. Ranjan.

A Unique Case
The patient experienced left-sided weakness, seemingly a symptom of a stroke. It was soon concluded that it was not a stroke and that the patient needed advanced care immediately. After arriving at Faith Regional, the patient was rushed for a CT scan and transesophageal echocardiogram (TEE ) of his chest, which helped confirm Dr. Ranjan’s suspicion of type A aortic dissection.

Immediately following diagnosis, the patient required surgical repair of the dissection, which was performed by Dr. Alec Akbarov, a cardiothoracic surgeon at Faith Regional CardioVascular Institute. “This type of advanced vascular surgery requires emergency expertise and technology, which I am thankful we can provide at Faith Regional,” said Dr. Ranjan.

After a short hospital recovery time, the patient returned home with a significant improvement in his neurological function and was able to resume normal physical activity.

Photo of the CT Scanner
The CardioVascular Institute
The success of any cardiovascular procedure depends on how quickly it occurs after a heart attack begins. The more time that passes, the greater the damage to the heart can be. The CardioVascular Institute ensures that patients in Norfolk and the surrounding communities are able to receive rapid diagnosis and treatment, which significantly improves their chance of survival. We’ve made cardiac services easier to access — closer to you, your family, and your physician.

The CardioVascular Institute is dedicated to the detection, prevention, intervention, and rehabilitation of heart-related diseases. Our heart program is supported by board certified cardiologists and surgeons, certified nurse practitioners, and nurses and technicians who provide patients with a specific diagnosis, the best treatment, and the greatest possible outcome for life.

For more information about Faith Regional CardioVascular Institute, call (402) 844-8284 or (800) HEART08. You can also learn more by visiting www.frhs.org and clicking on the “Heart & Vascular” icon.