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Advanced Aortic Arch Procedures

Have you been told you have an enlarged aorta or are you at risk for heart disease? The aortic arch is a critical part of your heart’s main artery, and problems in this area can be life-threatening if not addressed early. At HealthHub Clinics in Dubai, our Cardiology department specializes in comprehensive evaluation of aortic arch conditions and planning referrals for advanced aortic arch treatment. We focus on early detection, thorough aortic arch evaluation in Dubai, and coordinated care to ensure you get the expert help you need for your heart.

Understanding the Aortic Arch

The aortic arch is the curved portion of the aorta, the largest artery in your body. After the aorta rises from the heart, it bends into the arch, which then continues down through the chest and abdomen. Three major arteries branch off the aortic arch to deliver oxygen-rich blood to your head, neck, and arms. In essence, the aortic arch is like a highway distributing blood from the heart to the upper body. A healthy aortic arch ensures that your brain and arms receive a strong, steady blood flow.

Any issue in the aortic arch can disrupt blood flow to vital organs. Problems here are especially serious because the arch is close to the heart and supplies the brain – meaning that aortic arch disease can lead to complications like stroke, organ damage, or life-threatening bleeding if not managed in time. Understanding the anatomy and function of the aortic arch is the first step in recognizing why specialized care is crucial when something goes wrong in this part of the aorta.

Aortic Dissection

An aortic dissection is a tear in the inner layer of the aorta’s wall. Through that tear, blood can surge into the middle layer of the artery wall, causing the layers of the aorta to separate (dissect). When a dissection involves the aortic arch, it is extremely serious. It can disrupt blood supply to branches that go to the brain or arms, and it can quickly extend back toward the heart. An aortic arch dissection typically causes sudden, severe chest or upper back pain – often described as a sharp, tearing pain – along with symptoms like dizziness, fainting, or even signs of stroke. This is a medical emergency that needs immediate hospital care. The tear can lead to blockage of blood flow or a rupture of the aorta. Prompt surgical intervention is usually required for an aortic arch dissection. Surviving an aortic dissection often depends on how quickly it’s recognized and treated. This is why controlling risk factors and seeking urgent care for severe chest pain is so important.

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Symptoms, Risk Factors, and Early Detection

Aortic arch problems can be challenging to detect because some, like aneurysms, may not show clear symptoms until they become severe. Nonetheless, understanding possible symptoms and risk factors can prompt early evaluation, which is crucial. Here’s what to watch out for and why early detection is so important:

  • Common Symptoms:
    • Chest or Upper Back Pain: Sudden, intense chest, back, or jaw pain can be a warning sign of a dissection in the aortic arch.
    • Shortness of Breath or Cough: An enlarging aortic arch aneurysm might press on the lungs and airways, causing breathing difficulty or a dry cough.
    • Hoarseness: A hoarse voice can occur if an aneurysm presses on the nerve that controls the vocal cords.
    • Difficulty Swallowing: A large arch aneurysm or certain congenital anomalies can press on the esophagus, making it hard to swallow.
    • High Blood Pressure in Arms, Weak Pulses in Legs: This classic sign of coarctation (a narrowing of the arch) means blood flow to the lower body is reduced. You might have headaches or nosebleeds from high upper-body blood pressure and cold legs or cramping in calves due to lower circulation.

Aortic Arch Evaluation and Referral at HealthHub Clinics

At HealthHub Clinics, our role is to evaluate, diagnose, and facilitate advanced care for patients with suspected aortic arch problems. We understand that conditions of the aortic arch require specialized treatment, so we focus on thorough assessment and then connect you with the best surgical experts in Dubai for definitive management. Here’s how our aortic arch evaluation in Dubai works and what you can expect:

  • Comprehensive Clinical Assessment: Our cardiologists will review your symptoms and medical history, focusing on risk factors like blood pressure, smoking, and family history. A physical examination includes checking blood pressure in both arms, feeling pulses, and listening to heart sounds. These steps can uncover clues to potential arch issues.
  • Initial Diagnostic Testing: HealthHub Clinics perform basic tests such as electrocardiograms (ECGs) and echocardiography to visualize the heart and aorta. Echocardiograms can reveal an enlarged ascending aorta or aortic valve issues. If we suspect an aortic arch problem, we will coordinate CT or MRI scans with top imaging centers in Dubai.
  • Expert Analysis and Diagnosis: Our specialists compile all information to make a diagnosis and explain the findings clearly. If an advanced condition is confirmed, we provide referrals to top cardiothoracic or vascular surgeons.
  • Referral and Care Coordination: We arrange fast-track referrals to appropriate specialists and share our findings with them. Our clinic helps set up appointments and ensures the medical records are sent to the hospital team.
  • Pre-Surgical Optimization: Before surgery, we help manage conditions like high blood pressure with medications and lifestyle changes to improve surgical outcomes.
  • Follow-Up and Long-Term Management: After surgery, we provide follow-up care, routine monitoring, and adjust medications as needed. We ensure continuity of care from initial evaluation through post-surgery follow-ups.

At HealthHub, we act as the first touchpoint for complex aortic arch diseases. We collaborate with renowned heart surgeons in Dubai to guide you through every step, ensuring your health and peace of mind.

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Why Choose Healthhub Clinics for Aortic Arch Procedures?  

  • Extensive Experience
  • Advanced Facilities
  • Affordable premium services
  • Trusted Al-Futtaim brand

Frequently Asked Questions (FAQs)

What is the aortic arch and why is it important?

The aortic arch is the curved part of the aorta, the main artery that carries blood away from your heart. It’s important because it acts as a major highway for blood, curving over the heart and sending blood to the brain and arms through its branch arteries. A healthy aortic arch ensures that your upper body, including your brain, gets the oxygen-rich blood it needs. If the arch is diseased or damaged, it can severely affect circulation and lead to serious complications like stroke or heart failure.

Many aortic arch issues don’t cause obvious symptoms until they become severe. However, some warning signs include: sudden severe chest or upper back pain (which could indicate an aortic dissection), unexplained hoarseness or coughing, difficulty swallowing, or significant differences in blood pressure between your arms. Some people with aortic arch aneurysms might feel a persistent dull chest ache or shortness of breath, but many feel nothing at all. High blood pressure that is hard to control can also be a clue, especially in younger patients (which might suggest a congenital narrowing of the arch). Because symptoms can be vague or absent, routine check-ups and screenings are important if you have risk factors.

At HealthHub Clinics, our cardiologists use a combination of medical history, physical examination, and diagnostic tests to evaluate the aortic arch. We will discuss any symptoms you have and check for risk factors like hypertension or family history. During the physical exam, we look for signs such as unequal pulses or a heart murmur. We can perform an echocardiogram (heart ultrasound) on-site to get initial information about the aorta’s size and the heart’s function. We also do blood pressure checks and other basic tests. If we suspect an aortic arch issue, we will refer you for specialized imaging (like a CT or MRI angiogram) at a top radiology center in Dubai to confirm the diagnosis. Once all the information is gathered, we explain the results to you clearly and outline the next steps.

Treatment often involves major surgical or catheter-based procedures, like open-heart surgery or an endovascular stent graft. HealthHub Clinics does not perform these surgeries on-site; they’re done in hospitals by specialized cardiac surgeons. If surgery is needed, we refer you to a top cardiac surgery center in Dubai, arrange your appointment, and forward your test results. We prepare you for surgery by managing conditions like high blood pressure and provide follow-up care after the procedure.

Screening is crucial for those with significant risk factors. If you are over 60 with a history of smoking or high blood pressure, or have a family history of aortic aneurysms, consider evaluation. Genetic conditions like Marfan syndrome also warrant regular check-ups. HealthHub Clinics offers screening for high-risk patients, including exams and imaging. Discuss your risk factors with your doctor to determine if you need screening.

To lower your risk, control your blood pressure by taking medications, reducing salt intake, and having regular check-ups. Quit smoking, as it weakens blood vessels. Maintain a heart-healthy lifestyle with a balanced diet, regular exercise, and proper cholesterol levels. If you have a genetic risk, work closely with your cardiologist for medications and periodic monitoring. By addressing controllable risk factors and living healthily, you can catch issues early and protect against aortic arch disease.

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Article Reviewed by

Dr. Ahmad Amanat

Specialist Cardiologist

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