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Aortic Dissection Explained by American Heart Association

Wednesday, July 15, 2026 · 1 sources

Dr. Manesh Patel, volunteer president of the American Heart Association, discusses aortic dissection. Aortic dissection is a serious condition that was the preliminary finding in the death of Sen. Lindsey Graham.

An aortic dissection occurs when there is a tear in the inner layer of the aorta, which is the largest artery in the body. This tear causes bleeding into the wall of the aorta, leading to a separation or dissection of the layers of the aorta. Dr. Manesh Patel, volunteer president of the American Heart Association, spoke with NPR's A Martinez about aortic dissection.

According to Dr. Patel, aortic dissection is a serious condition that requires immediate medical attention. It can be caused by a variety of factors, including high blood pressure, atherosclerosis, and genetic conditions.

The symptoms of an aortic dissection can vary, but they often include severe chest or back pain, which can be described as tearing or ripping. Other symptoms may include difficulty breathing, a rapid heart rate, and a drop in blood pressure.

Dr. Patel emphasized the importance of seeking medical help right away if symptoms of an aortic dissection occur. Prompt treatment can help prevent serious complications, such as heart failure or stroke.

The 50+ takeaway: Aortic dissection risk increases with age.

Go Deeper

What is the aorta and what does it do?

The aorta is the largest artery in the body, responsible for carrying oxygenated blood from the heart to the rest of the body. It arises from the left ventricle of the heart and extends down to the abdominal region, where it divides into smaller arteries that supply blood to the lower body.

What are the common causes of an aortic dissection?

Common causes of an aortic dissection include high blood pressure, atherosclerosis, and genetic conditions such as Marfan syndrome or Ehlers-Danlos syndrome. Trauma, such as a car accident, can also cause an aortic dissection.

What are the symptoms of an aortic dissection?

Symptoms of an aortic dissection can include severe chest or back pain, difficulty breathing, a rapid heart rate, and a drop in blood pressure. The pain is often described as tearing or ripping and can radiate to the arms, legs, or abdomen.

How is an aortic dissection diagnosed?

An aortic dissection is typically diagnosed using imaging tests such as a chest X-ray, computed tomography (CT) scan, or magnetic resonance imaging (MRI) scan. These tests can help identify the location and extent of the dissection.

What is the treatment for an aortic dissection?

Treatment for an aortic dissection usually involves surgery to repair the aorta. In some cases, medication may be used to control blood pressure and prevent further bleeding. In severe cases, emergency surgery may be necessary to prevent serious complications or death.