Aortic dissection, aortic aneurysm - The aorta - Life after an aortic dissection
I am posting this for a very close friend. He just turned 49 years old, was going to be married in Dec of this year and moved back to Brazil for a new life as he was living between USA and Brazil. This was his special moment to re-invent himself and finally get married and looking forward for a bright future to restart a new family with kids.
On May 23rd, a Saturday, he was alone and felt terrible chest pain, back pain, breathless and cold sweat. He called for his fiance, Carla, to help him. She arrived immediately afterwards and took him to one of Sao Paulo's best hospital called Albert Einstein. He was immediately diagnosed with aorta dissection as a result of exams. Went to surgery, which took more than 8 hours.
Apparently, he had a ascending aorta dissection acute type A. His entire aorta was dissected and had to implant a new synthetic one with metal valves. His right subclava had some malfunction or was deformed and they could not find the connection to his aorta. Apparently, his heart was shut off for 180 minutes in order to reconstruct the aorta and all the arteries. They could not fix or find the right subclava artery. I am not exactly sure if this was the case but I'm gathering bits and pieces and putting together like jigsaw puzzle. Apologies for any technical mistakes or lack of more clear info...
It took him 3 days to wake up but still in a very fragile situation. It seems he will have permanent consequence to his legs and eye sight. He cannot feel his legs and apparently only the peripheral smaller arteries are circulating in his legs as a result of the spinal damage during surgery. The problems with his eye sight is also due to the problem with right subclava artery that did not circulate to brain and has left damages.
Two days ago (or 10 days after first surgery), they made a 2nd surgery to make a bypass for his right subclava artery in order to try to reestablish circulation to his brain in order to recuperate his eye sight and improve circulation.
He is still in the ICU unit with oxygen mask. His condition is stable but very fragile. All his friends here in Brazil are very concerned due to his current stage and, worst, is what is the future for this dear friend that could be potentially paraplegic and blind. Many questions come to our mind. His father and mother live in the USA but are weak financially and physically.
There are many issues such as, where will he do rehab ? Seems better and financially better for him in the USA.
Is this something common to have such severe consequences ?
Any light from someone ?
Sao Paulo, Brazil
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