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
Acibadem Kadikoy Hospital
Istanbul, Turkey
Acibadem Kadikoy Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- The number of beds in the hospital are 138 and Intensive Care beds are 23.
- There are as many as 6.500 access points for a building control system.
- There are 10 Operating theatres and more than 500 employees.
- There are specific healthcare facilities in Acibadem Kadikoy Hospital, Istanbul, Turkey which have been established per integrated healthcare outreach such as Breast Health Center, Check-up Center, and Diabetes Clinic etc.
- The hospital has the very best of Medical Technologies such as Flast CT, da Vinci robot, Magnetom Area MRI, Greenlight, Ortophos XG 3D and Full Body MRI, 4-Dimensional Breast Ultrasound, 3-Dimensional Tomosynthesis Digital Mammography.
Bayindir Healthcare Group
Ankara, Turkey
Bayindir Healthcare Group located in Ankara, Turkey is accredited by ISO, JCI. Also listed below are some of the most prominent infrastructural details:
- Bayindir Healthcare Group comprises 3 hospitals, 6 Dental special clinics and 1 Medical Center.
- Sogutozu Hospital
- Icerenkoy Hospital
- Kavaklidere Hospital
- Levent Medical Center
- Fenerbahce Dental Clinic
- Besiktas Dental Clinic
- Icerenkoy Dental Clinic
- Is Tower Dental Clinic
- Sirinevler Dental Clinic
- Alsancak Dental Clinic
- The International Patient Center was set up in 2010. It is a resource for doctors and the available healthcare services, arranging for consultations and appointments. Also, it manages the travel, transfer, accommodation, visa and insurance resources and translation for international medical travellers.
- Networking with physicians from various countries to ensure knowledge and know how growth and implementation work towards the benefit of patients.
Acibadem Altunizade Hospital
Istanbul, Turkey
Acibadem Altunizade Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- The indoor area of Acibadem Hastanesi - Altunizade, Istanbul, Turkey is one of the largest at 98,000 square meters.
- There are 550 beds and as many parking spots.
- 75 of the beds are in the intensive care unit.
- A hybrid operating room which has 3 diagnostic units at one location which is an amazing concept as at one time surgeries can be performed in 3 operating theatres.
- International patients are serviced well through a particular center for them where services related to therapy and diagnostics are done.
- Healthcare delivery in this part of the hospital can be availed in 16 different languages.
- Robotic Surgery and Cell Therapy Unit are representative of the high standards of technology present in the hospital.
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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