Video: Aortic Aneurysm vs Aortic Dissection: What’s the Difference?

With Dr Andrew Choong, vascular and endovascular surgeon in Singapore

Published · 56 sec · Watch on YouTube

Transcript

Read the full transcript

Aortic aneurysms and aortic dissections are often confused, but they're not the same thing. They're both serious. They can both rupture. They can both be fatal. But importantly, an aneurysm is when part of the aorta becomes abnormally enlarged, growing like a balloon. A dissection is different. A tear develops on the inside lining of the blood vessel, and blood then tracks between the layers of the wall, creating a second channel called a false lumen.

Now, confusingly, you can have an aneurysm without a dissection, and you can have a dissection without an aneurysm, but one can lead to another. The nomenclature is important because it really matters how we treat them. So if you are concerned, go and see a vascular surgeon and get screened.

About this video

An aortic aneurysm is an abnormal enlargement of the aorta; an aortic dissection is a tear that allows blood to separate the artery wall’s layers. In this 56-second video, Dr Andrew Choong, vascular and endovascular surgeon in Singapore, explains the false lumen, why these conditions can occur separately or together, and why the correct diagnosis matters for treatment. Both can lead to rupture and require appropriate assessment.

Related patient information

Sudden severe chest, back or abdominal pain, collapse or stroke-like symptoms need emergency assessment. In Singapore, call 995.

For an individual assessment or second opinion, contact Andrew Choong Vascular Surgery at Mount Elizabeth Novena Specialist Centre, #09-22, 38 Irrawaddy Road, Singapore 329563.

This video provides general information and does not replace individual medical advice.

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