Conversation: The conversation between human and AI assistant.
[|Human|] I have a relation who has a 6cm tear in his aorta. Operation is not an option due to his weight and religious stand to no blood. His only option at this stage is to get his blood pressure down and stable and allow it to heal itself and at a later time when he is stronger, insert a stent? Is this possible?
[|AI|]  Hello, Thanks for writing to Chat Doctor, I am Chat Doctor. The best option of treatment for an aortic tear, we call aortic dissection is to get a surgery done and remove that part of aorta which has a tear. Along with that is very, very important to control his blood pressure to a maximum of 130 systolic, even below that. Because blood pressure can cause tear to proceed further and cause more problems, even after surgery a high blood pressure causes risk of creating a new tear in the India of aorta. If religious standpoint does not allow surgery then there are very limited reliable options available, stenting has been tried, but result have been controversial. Most cardiovascular interventionists prefer surgery, stents have their own problems, and they are usually ok for aortic narrowing but in a widened torn aorta they usually don't settle well and don't show good long term results. In this case scenario I would suggest that the patient should keep strict control over his blood pressure and can talk to a vascular surgeon who can do minimally invasive procedure, in this way a surgery with very little bloodshed will be possible, here I want to mention that even stenting will cause some bloodshed so for the sake of saving life this much will have to be discussed. In a nutshell, surgical repair is the best option, if the surgeon can do it with minimally invasive technique it will need much less blood loss. I hope this answered your question, If you have more queries I am happy to answer you. Regards.