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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes A Torn Blood Vessel In The Heart’s Upper Wall?

I had a tear in the upper wall of a heart blood vessel. There was no pain or shortness of breath, but bouts of burping. I had emergency surgery to put in 2 stents. It was found that the tissue flap was blocking the blood flow. This was 5 yrs ago. I am 79 and a diabetic with hypertension & both are under control. Is this type episode likely to happen again & what is it called? Thanks for your help
Fri, 3 Feb 2017
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Cardiologist,  's  Response
hello,
this is called as coronary artery dissection.
The causes includes various illness like fibromuscular dysplasia, postpartum status, multiparity, connective tissue disorders like sle, systemic inflammatory conditions, and hormonal therapy. In upto 20 percent cases, no cause is found.
There are various precipitating factors like intense exercise or emotional stress, labor and delivery, intense Valsalva-type activities, recreational drug uses, and aggressive hormonal therapy.
There is certainly a chance of recurrence which depends upon the cause or precipitating factor in you.
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What Causes A Torn Blood Vessel In The Heart’s Upper Wall?

hello, this is called as coronary artery dissection. The causes includes various illness like fibromuscular dysplasia, postpartum status, multiparity, connective tissue disorders like sle, systemic inflammatory conditions, and hormonal therapy. In upto 20 percent cases, no cause is found. There are various precipitating factors like intense exercise or emotional stress, labor and delivery, intense Valsalva-type activities, recreational drug uses, and aggressive hormonal therapy. There is certainly a chance of recurrence which depends upon the cause or precipitating factor in you.