Free Republic
Browse · Search
News/Activism
Topics · Post Article

Skip to comments.

How a Torn Aorta Can Do Lethal Damage
NY Times ^ | December 20, 2010 | DENISE GRADY

Posted on 12/20/2010 10:19:32 PM PST by neverdem

The death of the veteran diplomat Richard C. Holbrooke last week shocked Americans and his many colleagues around the world. Mr. Holbrooke, 69, was a larger-than-life figure, a fearless and robust man who was apparently struck down without warning.

He became ill on a Friday, and was dead by Monday. According to government officials, the cause was a tear in his aorta, the artery that carries blood from the heart to vessels that feed the rest of the body.

Mr. Holbrooke underwent 21 hours of surgery from Friday to Saturday to repair the damage, and then another seven-hour operation on Sunday, all at George Washington University Medical Center in Washington. But no amount of surgery could save him.

Aortic tears may be unfamiliar to most people, but they kill at least 2,000 Americans a year, and possibly more, because some of the deaths may be mistakenly attributed to heart attacks. Tears are more common in men than in women, and most likely in people from 40 to 70. Their causes include uncontrolled high blood pressure, atherosclerosis and a genetic tendency to have weak tissue or an abnormal valve in the aorta. There may be no warning signs before the tear occurs.

The aorta is the biggest artery in the body, more than an inch wide in some spots. It has three layers; most tears start in the innermost one. Blood can then force its way into the tear and separate the layers, or peel them apart — a type of damage called aortic dissection.

A flap and a “false channel” can form inside the aorta and impede blood flow. And the pressure from the blood can keep enlarging the tear and the flap. If the tear goes all the way through and the aorta ruptures, death can be almost immediate...

(Excerpt) Read more at nytimes.com ...


TOPICS: Culture/Society; Foreign Affairs; News/Current Events; US: District of Columbia
KEYWORDS: 201012; aorta; death; genetics; health; holbrooke; richardholbrooke
Navigation: use the links below to view more comments.
first previous 1-2021-4041-6061-73 last
To: seoul62

An enlarged aorta will usually appear in the chest x rays and ultrasound exams of most patients. The use of a blood dye in angiograms and/or CT scans (computed tomography scans) will aid in diagnosing and visualizing the dissection.


61 posted on 12/21/2010 1:43:54 PM PST by StayoutdaBushesWay (Why Johnny Ringo, you look like someone just walked over your grave!)
[ Post Reply | Private Reply | To 49 | View Replies]

To: seoul62

An enlarged aorta will usually appear in the chest x rays and ultrasound exams of most patients. The use of a blood dye in angiograms and/or CT scans (computed tomography scans) will aid in diagnosing and visualizing the dissection.


62 posted on 12/21/2010 2:55:52 PM PST by StayoutdaBushesWay (Why Johnny Ringo, you look like someone just walked over your grave!)
[ Post Reply | Private Reply | To 49 | View Replies]

To: StayoutdaBushesWay

Thank you very much.


63 posted on 12/21/2010 3:08:48 PM PST by seoul62
[ Post Reply | Private Reply | To 62 | View Replies]

To: neverdem; All
I'm so sorry about my first post #7. I mistyped, typing faster than my brain processed. Anyway I wrote “before the dissection turns into an aneurysm”, I meant to say "complete rupture", not aneurysm.
I hate when I mistype, especially with such a serious topic.
64 posted on 12/21/2010 3:09:00 PM PST by StayoutdaBushesWay (Why Johnny Ringo, you look like someone just walked over your grave!)
[ Post Reply | Private Reply | To 1 | View Replies]

To: Bob
Not always picked up on a trans thoracic ultrasound, there can be clues for further investigation though, but a trans esophageal ultrasound is better at checking the aorta.
Trans thoracic is looking outside in, some people image better than others. Trans esophageal is looking from the inside out, more precise as there are no ribs, air, etc.
65 posted on 12/21/2010 3:23:09 PM PST by StayoutdaBushesWay (Why Johnny Ringo, you look like someone just walked over your grave!)
[ Post Reply | Private Reply | To 54 | View Replies]

To: null and void

I give all credit to God. I couldn’t do it without Him. If He didn’t show up, I’d have been toast long ago. But I really do love my job.


66 posted on 12/21/2010 3:43:18 PM PST by 60Gunner (Mohammed was not a prophet. Islam is not a religion. Obama is not an American.)
[ Post Reply | Private Reply | To 55 | View Replies]

To: 60Gunner
I really wish I could have done what you do, I unfortunately couldn't get my act together to pursue nursing when I got out of the ARMY, where I was a medic. Was looking into some LVN programs, but not worth the money, especially bridging from LVN to RN. So I am an EMT and cardiac sonographer, at least God has me doing something in the medical field.
Thanks for all you do, I don't think a lot of people realize the scope of things you Rn’s do.
Merry Christmas.
67 posted on 12/21/2010 4:44:40 PM PST by StayoutdaBushesWay (Why Johnny Ringo, you look like someone just walked over your grave!)
[ Post Reply | Private Reply | To 66 | View Replies]

To: neverdem

My brother might have died from this. Last year, Monday, he complained of chest pains & went to UCLA hospital, which did tests but found nothing conclusive. They told him to come back Friday for a follow-up.

Thursday afternoon, at work, he simply dropped dead. Because Jewish law prohibited an autopsy, we’ll never know for sure what killed him.


68 posted on 12/21/2010 5:48:28 PM PST by MoochPooch (I'm a compassionate cynic.)
[ Post Reply | Private Reply | To 1 | View Replies]

To: 23 Everest
Oh wait they banded his movie down there because is was full of Barbara Streisand.

Thus proving that Castro (or whosoever banned it) has much more sense than Propagandist Moore.

69 posted on 12/21/2010 6:59:49 PM PST by Ole Okie (American)
[ Post Reply | Private Reply | To 18 | View Replies]

To: StayoutdaBushesWay
Not always picked up on a trans thoracic ultrasound, there can be clues for further investigation though, but a trans esophageal ultrasound is better at checking the aorta. Trans thoracic is looking outside in, some people image better than others. Trans esophageal is looking from the inside out, more precise as there are no ribs, air, etc.

I'm assuming that a "trans thoracic" ultrasound is what I had. It was described to me as being an echo cardiogram. Are those just two different names for the same procedure?

When you talk about a "trans esophageal" looking from the inside out, I'm thinking that you're talking about having an instrument shoved down your throat. Is that the basic idea? I definitely didn't have one of those.

70 posted on 12/22/2010 12:44:15 AM PST by Bob
[ Post Reply | Private Reply | To 65 | View Replies]

To: StayoutdaBushesWay
Not always picked up on a trans thoracic ultrasound, there can be clues for further investigation though, but a trans esophageal ultrasound is better at checking the aorta. Trans thoracic is looking outside in, some people image better than others. Trans esophageal is looking from the inside out, more precise as there are no ribs, air, etc.

I'm assuming that a "trans thoracic" ultrasound is what I had. It was described to me as being an echo cardiogram. Are those just two different names for the same procedure?

When you talk about a "trans esophageal" looking from the inside out, I'm thinking that you're talking about having an instrument shoved down your throat. Is that the basic idea? I definitely didn't have one of those.

71 posted on 12/22/2010 12:45:43 AM PST by Bob
[ Post Reply | Private Reply | To 65 | View Replies]

To: Bob

Yep, that’s how it’s done, open up and say ah!


72 posted on 12/22/2010 1:46:13 AM PST by StayoutdaBushesWay (Why Johnny Ringo, you look like someone just walked over your grave!)
[ Post Reply | Private Reply | To 70 | View Replies]

Comment #73 Removed by Moderator


Navigation: use the links below to view more comments.
first previous 1-2021-4041-6061-73 last

Disclaimer: Opinions posted on Free Republic are those of the individual posters and do not necessarily represent the opinion of Free Republic or its management. All materials posted herein are protected by copyright law and the exemption for fair use of copyrighted works.

Free Republic
Browse · Search
News/Activism
Topics · Post Article

FreeRepublic, LLC, PO BOX 9771, FRESNO, CA 93794
FreeRepublic.com is powered by software copyright 2000-2008 John Robinson