Aortic Dissection

Aortic dissection is a condition where a tear suddenly develops in the lining of the aorta causing pain and often bleeding or problems with reduced blood supply to different areas of the body and internal organs.

These sudden problems require emergency treatment with blood pressure control and often key-hole (endovascular) surgery. The aorta which has been affected by the dissection (tear) can dilate up over weeks, months and years to form an aneurysm which may need treatment using endovascular surgery or less often ‘open surgery’.


At The London Aortic Centre, we can repair the aneurysm which occur late after the aortic dissection using the key-hole approach or endovascular repair (EVAR for short) which is our preferred method because it is less invasive and you will recover more quickly with a lower risk of complications.

The operation and check-ups are identical to that required for aortic aneurysms which occur without previous dissection. Most of the aortic aneurysms, however, occur in the chest and abdomen and involve the area of the aorta where the arteries that feed the kidneys and intestines arise.

These aneurysms can be repaired with special made-to-measure stent-grafts with windows (fenestrations) in the graft material or small branches which ensure that blood continues to flow to the kidneys and intestines while sealing off the aneurysm. These devices are known as fenestrated or branched stent-grafts and are a more advanced type of endovascular repair that the standard stent-graft.

The specialists at The London Aortic Centre have considerable experience in caring for patients with the most complex aortic aneurysms including patients with previous aortic dissection. We will provide a tailor-made treatment for you and your post-dissection aneurysm, employing the most advanced available technologies in order to deliver the best possible outcome with the lowest risk of complications and the earliest return to your normal activities.

Aortic Aneurysms

The aorta is the main artery in the body which leaves the heart and passes through the chest and abdomen giving off many branches which supply blood containing oxygen to the body’s organs and limbs. The aorta is normally about 2.5cm wide but its wall can become weakened and bulge out like a balloon or a blow-out on a car tyre.


Intermittent claudication is the medical term for leg pain which comes on when walking as a consequence of peripheral arterial disease. The arteries supplying blood to the legs can narrow down and sometimes become blocked due to a process called atherosclerosis.