Aortic Dissection Treatment in Turkey
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What is an Aortic Dissection?
An aortic dissection occurs when a tear in the aorta's inner lining lets blood into the wall and separates its layers, creating a false lumen. The dissection may involve the ascending aorta, descending thoracic aorta, abdominal aorta, or multiple segments.
Aortic dissections are commonly classified as:
- Type A: Involves the ascending aorta and may extend into the aortic root, arch, coronary arteries, or other branches.
- Type B: Does not involve the ascending aorta and usually begins in the descending aorta.
A dissection can interfere with blood flow to the heart, brain, kidneys, intestines, spinal cord, or limbs and may cause complications such as rupture, cardiac tamponade, aortic valve leakage, stroke, or organ ischemia.
What is the Importance of Timely Treatment?
Aortic dissection can rapidly become life-threatening. A tear involving the ascending aorta can lead to rupture, cardiac tamponade, aortic regurgitation, coronary artery obstruction, stroke, or reduced blood flow to other organs.
Acute Type A aortic dissection requires immediate evaluation by an experienced aortic or cardiac surgical team, with emergency operative repair generally recommended. Stable patients may be transferred to a high-volume aortic centre with appropriate expertise.
What are the Common Symptoms of an Aortic Dissection?
- Sudden, severe chest pain
- Severe upper-back pain
- Pain that may spread to the neck, jaw, abdomen, or back
- Shortness of breath
- Fainting or loss of consciousness
- Sweating, weakness, or a feeling of impending illness
- Stroke-like symptoms such as weakness, numbness, confusion, or difficulty speaking
- Abdominal pain
- Reduced blood flow to an arm or leg, which may cause pain, weakness, numbness, or a cold limb
- Unequal blood pressure or pulses between limbs
Causes and Risk Factors of Aortic Dissection
Causes
- Long-standing or severe hypertension
- Aortic aneurysm
- Genetic connective-tissue disorders
- Marfan syndrome
- Loeys-Dietz syndrome
- Vascular Ehlers-Danlos syndrome
- Bicuspid aortic valve and associated aortic disease
- Previous aortic surgery or procedures
- Significant chest trauma
- Certain inflammatory or vascular conditions
- Pregnancy-related aortic disease in susceptible individuals
Risk Factors
- Uncontrolled high blood pressure
- Personal or family history of aortic disease
- Thoracic aortic aneurysm
- Inherited aortic disorders
- Bicuspid aortic valve
- Increasing age
- Smoking
- Previous aortic surgery
Latest Research and Technologies in the Treatment of Aortic Dissection in Turkey
- Modern management of aortic dissection focuses on rapid diagnosis, accurate anatomical assessment, specialised surgical or endovascular treatment, and intensive postoperative monitoring. CT angiography, echocardiography, and MRI are used when appropriate to define the disease's location and extent. Treatment may include open ascending aortic or arch repair, valve or aortic-root procedures, hybrid approaches, and endovascular techniques for selected descending-aorta dissections.
Treatment options for Aortic Dissection
Open Surgical Repair: Acute Type A aortic dissection generally requires emergency open surgery. The procedure may involve replacing the ascending aorta, hemiarch or arch reconstruction, and repairing associated complications such as aortic regurgitation or coronary involvement.
Bentall Procedure : A Bentall procedure may be performed when the aortic root and aortic valve are significantly affected. It involves replacing the aortic root and ascending aorta with a composite graft containing an artificial valve, and reimplanting the coronary arteries into the graft.
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Valve-Sparing Aortic Root Repair: In selected Type A dissections involving the aortic root, the native aortic valve may be preserved when appropriate. The dilated or dissected root is replaced or reconstructed while retaining the patient's own valve, when clinically appropriate.
Endovascular Repair (TEVAR): Thoracic endovascular aortic repair (TEVAR) may be considered for Type B dissection when complications such as rupture, malperfusion, persistent pain, uncontrolled hypertension, or other high-risk features are present and the anatomy is suitable.
- Clinical assessment:
- Symptom assessment: Sudden chest or back pain, pain radiation, shortness of breath, fainting, or neurological symptoms.
- Blood pressure: Measurement in both arms to identify significant differences that may indicate impaired blood flow.
- Pulse examination: Checking pulses in the arms and legs for differences or reduced blood flow.
- Cardiovascular examination: Assessment for abnormal heart sounds, aortic regurgitation, or signs of cardiac complications.
- Neurological assessment: Checking for weakness, numbness, confusion, speech difficulties, or other signs of stroke or reduced blood flow to the brain.
- Organ and limb perfusion: Assessment for signs of reduced blood supply to the kidneys, intestines, spinal cord, or limbs.
- Medical history: Review of hypertension, aortic aneurysm, previous aortic procedures, or known cardiovascular disease.
- Family history: Assessment for a family history of aortic disease or inherited connective-tissue disorders.
- Underlying conditions: Evaluation for conditions such as Marfan syndrome, other connective-tissue disorders, or bicuspid aortic valve.
- Imaging Tests:
- CT Angiography (CTA): Provides rapid, detailed images of the aorta and can identify the location and extent of the dissection and involvement of major branches.
- Transesophageal Echocardiography (TEE): Provides detailed assessment of the ascending aorta, aortic root, valves, heart function, and complications such as pericardial effusion.
- Transthoracic Echocardiography (TTE): Helps evaluate heart function, aortic valve regurgitation, and pericardial effusion, although it does not fully visualise the entire aorta.
- MRI/MRA: Provides detailed aortic imaging and can be useful for selected patients, particularly during longer-term surveillance.
MediRehab (a chain of Rehab centres, part of MediGence) provides comprehensive tele-rehabilitation services designed to support Aortic Dissection patients in turkey. These services include:
- Rehabilitation after aortic dissection or surgical repair is gradual and should be guided by the treating cardiovascular team.
- It may include supervised physical activity, gradual walking, breathing exercises, strength and mobility work, blood-pressure monitoring, medication education, nutritional guidance, and strategies to support cardiovascular health.
- Patients may need restrictions on heavy lifting and high-intensity activities. Rehabilitation timing and intensity depend on the type of dissection, treatment performed, complications, cardiovascular status, and follow-up imaging.
- Medicines reduce stress on the aortic wall, control blood pressure and heart rate, relieve pain, and manage associated cardiovascular risks. Treatment may include beta-blockers, intravenous antihypertensive medicines, other blood-pressure-lowering medicines, and analgesics. Clinicians may use diuretics or other medicines when indicated.
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Hospitals for Aortic Dissection in Turkey
Biruni University Hospital
Istanbul, Turkey
Biruni University Hospital started to serve in 2016. It is a full-fledged multi-specialty healthcare facility, situated in Istanbul, Turkey. The hospital is well-known for its outstanding medical care standards, and it has acquired numerous certificates from international quality organizations. It is a renowned & well-established healthcare facility that provides cutting-edge diagnostic and treatment approaches. They have a team of highly skilled doctors and surgeons on call 24 hours a day, seven days a week to deliver the best medical care possible.
The hospital has various medical departments such as Cardiology, Neurology, Urology, Rheumatology, Pediatrics, General Medicine and Surgery, Gastroenterology, etc. Popular treatments conducted at the hospital are Pediatric Neurology, Cardiac Stenting, Balloon Angioplasty, Bypass surgery, plastic surgery procedures like Hair transplant, & Botox injections, and many more. The hospital is known for its most valuable service i.e. service to human health. Hospital management & professionals define their service concept with the significance attached to the belief. The management is concerned with both medical statistics and, above all, the satisfaction of the patients. Patients from other countries are well looked after. The hospital offers international patients a relaxing and secure environment in terms of psychology, comfort, and health.
The hospital's primary purpose is to provide world-class patient-centered health care through our highly responsible team who can produce information and use it appropriately. With its university-based scientific infrastructure and competent health care, the hospital's management has long-term plans for it, with a desire to be an innovative and leading health institution that is regarded as a reference in the country and around the world. Several value-added services and quality policies are available at the facility. To mention a few, the hospital is open to development and technology, continuously measuring and improving, training qualified health professionals, caring about patient and employee satisfaction, and becoming mobilized to bring an environment of reliable diagnosis, treatment, and care to the majority of the society.
Antalya Anadolu Hastanesi
Antalya, Turkey
Apart from in-detail treatment procedures available, Antalya Anadolu Hastanesi located in Antalya , Turkey has a wide variety of facilities available for International Patients. Some of the facilities which are provided by them are Accommodation, Airport Transfer, Choice of Meals, Interpreter, TV inside room. Also listed below are some of the most prominent infrastructural details:
- A technological powerhouse, it provides 24*7 trauma care.
- 4 suites and 54 luxurious rooms
- 3 exceptional operating theatres
- 3 Intensive Care Units
- Efficient and capable healthcare personnel
- Focus on patient care, reasonable prices
- State of the art diagnostics setup
- Recognised for providing integrated care for complex cases and rare cases
- Latest 1.5 Tesla MR, 64 2 Multi-slice Computed Tomography (CT), coronary angiography, and panendoscope
- Treatments such as angioplasty(PTCA), cryotherapy, IVF, ERCP, peritoneoscopy, facial palsies, and electro shock wave lithotripsy are available
- Widely experienced and well educated healthcare professionals are at the forefront of healthcare delivery at the Antalya Anadolu Hospital, Antalya, Turkey
Medipol Mega University Hospital
Istanbul, Turkey
Medipol Mega University Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- The Hospital includes 4 centers i.e. general surgery, cardiovascular surgery, oncology, and dentistry
- Medipol patients have access to over 60,000 m2 of the gardens, 26,000 m2 of the five-storied underground parking, 100,000 m2 covered premises and 1,500 members of the stuff
- Capacity of 470 patient beds
- Oncology Center
- Emergency department that can admit up to 134 patients (including general, coronary, KVC and neonatal emergency department)
- 25 Operating rooms
- Medipol Mega University Hospital uses the following innovative technologies- Biplane digital flat-panel angiographic system, Digital flat-panel tomosynthetic mammography, Surgical O-ARM PEROP CT Imaging system, etc.
- Helicopters enabling the transfer of the patient at the most emergency cases
- The Hospital creates a friendly & comfortable ambience for the patients and their relatives with terrace garden suites, normal rooms. Each room is equipped with multimedia services like TV, DVD, Internet, online access from patients bedside, Unlimited Digital Archive pacs and high-quality meal service
- Prayer Room
- 5-starred cafeteria/restaurant
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Why Choose turkey for Aortic Dissection Treatment?
- World-Class Healthcare Infrastructure: turkey is home to numerous JCI (Joint Commission International) accredited hospitals equipped with state-of-the-art cardiothoracic surgical suites, specialized aortic intensive care units (ICUs), and advanced hybrid operating theaters designed for complex vascular repairs.
- Highly Skilled Cardiothoracic Surgeons: Vascular and cardiothoracic surgeons are globally renowned for their expertise, often having trained or worked in top medical institutions. They routinely manage high volumes of complex aortic emergencies, including Bentall procedures and Frozen Elephant Trunk (FET) reconstructions.
- Cost Advantage: Emergency or elective aortic reconstruction in turkey costs a fraction of what it does in other nations, without compromising clinical quality.
- Cutting-Edge Diagnostic and Surgical Technology: turkey cardiac centres use the latest medical advancements, including intra-operative fusion imaging, Intravascular Ultrasound (IVUS), and specialised hybrid prostheses, ensuring precise stent deployment and surgical accuracy.
- Minimal Wait Times: Unlike public healthcare systems in some countries where waiting lists can delay complex vascular care, private cardiac centres in turkey offer immediate admission and rapid surgical deployment, which is vital for a life-threatening condition like an aortic dissection.
- Dedicated Cardiac Teams and Comprehensive Care: Leading turkey hospitals employ multidisciplinary Aortic Teams, including cardiac surgeons, interventional radiologists, cardiologists, and intensive care specialists, to deliver coordinated emergency care and structured post-operative rehabilitation.
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Author
Pragun Gupta
Pragun Gupta is a Doctor of Pharmacy (Pharm. D.) professional from Teerthanker Mahaveer University with hands-on experience in clinical pharmacology, clinical research, and evidence-based medical writing. Through her clinical and research exposure, she has developed a strong interest in pharmacoeconomics, pharmacology, therapeutics, and pharmacovigilance.
As a medical writer, she works on medical and scientific research articles, patient education materials, and healthcare-focused content. Her clinical research and evidence-based writing experience enables her to translate complex medical information into clear, accurate, patient-friendly content while maintaining scientific credibility and medical accuracy. Her primary aim is to make healthcare information accessible and easy for patients and general readers to understand.
View MoreReviewer
Dr. Nityanand Tripathi
Interventional Cardiologist
29 Years of Experience
With a rich experience of more than 29 years, Dr. Nityanand has gained a vast spectrum of skills and expertise in performing all types of complex cardiac procedures. He is an expert in clinical & interventional cardiology and electrophysiology. He studied his medicine (MBBS) and MD from the Institute of Medical Sciences of Banaras Hindu University, Varanasi, and later completed his DM in Cardiology from the prestigious King George Medical University, Lucknow. View More
Last Reviewed - January 2026