{"id":265,"date":"2025-11-05T14:21:21","date_gmt":"2025-11-05T14:21:21","guid":{"rendered":"https:\/\/cirurgiacardiovascular.com\/?page_id=265"},"modified":"2025-11-26T18:35:53","modified_gmt":"2025-11-26T18:35:53","slug":"disseccao-de-aorta","status":"publish","type":"page","link":"https:\/\/drciroreis.com.br\/?page_id=265","title":{"rendered":"Dissec\u00e7\u00e3o de Aorta"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"265\" class=\"elementor elementor-265\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-243e944 e-flex e-con-boxed e-con e-parent\" data-id=\"243e944\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c58cf56 elementor-widget elementor-widget-heading\" data-id=\"c58cf56\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Dr ciro reis<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-dd1ad0d elementor-widget elementor-widget-heading\" data-id=\"dd1ad0d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Dissec\u00e7\u00e3o de Aorta<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-931d41c elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"931d41c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><b>Resumo em 1 minuto:<\/b>\u00a0a dissec\u00e7\u00e3o de aorta \u00e9 uma\u00a0<strong>emerg\u00eancia<\/strong>\u00a0em que surge uma \u201crasgadura\u201d na parede interna da aorta, permitindo que o sangue crie um\u00a0<strong>\u201ccanal falso\u201d<\/strong>\u00a0dentro do vaso. Quando envolve a\u00a0<strong>aorta ascendente<\/strong>\u00a0(pr\u00f3xima ao cora\u00e7\u00e3o) chama-se\u00a0<strong>Tipo A<\/strong>\u00a0e\u00a0<strong>quase sempre precisa de cirurgia urgente<\/strong>. Quando envolve apenas a\u00a0<strong>aorta descendente<\/strong>, \u00e9\u00a0<strong>Tipo B<\/strong>, tratada inicialmente com\u00a0<strong>controle rigoroso da press\u00e3o e da dor<\/strong>, podendo exigir\u00a0<strong>endopr\u00f3tese (TEVAR)<\/strong>\u00a0se houver complica\u00e7\u00f5es. O diagn\u00f3stico \u00e9 feito, em geral, por\u00a0<strong>angiotomografia (TC)<\/strong>.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-279f8a1 elementor-mobile-align-center elementor-widget elementor-widget-button\" data-id=\"279f8a1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/api.whatsapp.com\/send\/?phone=55062999875623&#038;text=Ol%C3%A1%2CGostaria+de+agendar+uma+consulta+com+o+Dr.+Ciro+Reis.+&#038;type=phone_number&#038;app_absent=0\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">ENTRE EM CONTATO AGORA<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-33f139e e-flex e-con-boxed e-con e-parent\" data-id=\"33f139e\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-95217d9 elementor-widget elementor-widget-heading\" data-id=\"95217d9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">1. O que \u00e9?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7ec995d elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"7ec995d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>\u00c9 uma\u00a0<strong>s\u00edndrome a\u00f3rtica aguda<\/strong>\u00a0na qual ocorre um\u00a0<strong>rasgo na camada interna (\u00edntima)<\/strong>\u00a0da aorta; o sangue entra na parede e separa suas camadas, formando um\u00a0<strong>falso l\u00famen<\/strong>. Classifica-se em:<\/p><p>\u00a0<\/p><ul><li><strong>Stanford Tipo A:<\/strong>envolve a\u00a0<strong>aorta ascendente<\/strong>\u00a0(com ou sem extens\u00e3o para outras partes).<\/li><li><strong>Stanford Tipo B:<\/strong><strong>n\u00e3o<\/strong>\u00a0envolve a aorta ascendente (geralmente come\u00e7a ap\u00f3s a art\u00e9ria subcl\u00e1via esquerda).\u00a0<\/li><\/ul><div>\u00a0<\/div><p>Condi\u00e7\u00f5es aparentadas (tamb\u00e9m s\u00edndromes a\u00f3rticas agudas) incluem\u00a0<strong>hematoma intramural (IMH)<\/strong>\u00a0e\u00a0<strong>\u00falcera ateroscler\u00f3tica penetrante (PAU)<\/strong>, que podem evoluir como uma dissec\u00e7\u00e3o e s\u00e3o manejadas com princ\u00edpios semelhantes.\u00a0<\/p><p><strong>Como se diagnostica?<\/strong><br \/>A\u00a0<strong>angiotomografia (TC)<\/strong>\u00a0\u00e9 o exame de escolha em pacientes est\u00e1veis;\u00a0<strong>eco transesof\u00e1gico<\/strong>\u00a0\u00e9 \u00fatil quando o doente est\u00e1 inst\u00e1vel ou o acesso \u00e0 TC \u00e9 demorado.\u00a0<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-448fcc2 e-con-full e-flex e-con e-child\" data-id=\"448fcc2\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b339a07 elementor-widget__width-initial elementor-widget elementor-widget-image\" data-id=\"b339a07\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"429\" height=\"320\" src=\"https:\/\/drciroreis.com.br\/wp-content\/uploads\/2025\/11\/Disseccao_aortica.png\" class=\"attachment-large size-large wp-image-270\" alt=\"\" srcset=\"https:\/\/drciroreis.com.br\/wp-content\/uploads\/2025\/11\/Disseccao_aortica.png 429w, https:\/\/drciroreis.com.br\/wp-content\/uploads\/2025\/11\/Disseccao_aortica-300x224.png 300w\" sizes=\"(max-width: 429px) 100vw, 429px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3e6cb4c elementor-widget elementor-widget-image\" data-id=\"3e6cb4c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"340\" height=\"317\" src=\"https:\/\/drciroreis.com.br\/wp-content\/uploads\/2025\/11\/Imagem2.png\" class=\"attachment-large size-large wp-image-269\" alt=\"\" srcset=\"https:\/\/drciroreis.com.br\/wp-content\/uploads\/2025\/11\/Imagem2.png 340w, https:\/\/drciroreis.com.br\/wp-content\/uploads\/2025\/11\/Imagem2-300x280.png 300w\" sizes=\"(max-width: 340px) 100vw, 340px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bbf1d22 blur elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"bbf1d22\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5549b61 elementor-widget elementor-widget-heading\" data-id=\"5549b61\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">2. Quais s\u00e3o os sinais e sintomas?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3b1f0c8 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"3b1f0c8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<ul><li><strong>Dor s\u00fabita, intensa, em \u201crasgo\u201d<\/strong>no\u00a0<strong>peito<\/strong>,\u00a0<strong>costas<\/strong>\u00a0e\/ou\u00a0<strong>abd\u00f4men<\/strong>, podendo\u00a0<strong>migrar<\/strong><\/li><li><strong>Desmaio<\/strong>,<strong>queda de press\u00e3o<\/strong>,\u00a0<strong>sudorese<\/strong><\/li><li><strong>Falta de ar<\/strong>, \u00e0s vezes <strong>dor no peito tipo infarto<\/strong><\/li><li><strong>Pulsos diferentes <\/strong>entre bra\u00e7os\/pernas;\u00a0<strong>d\u00e9ficits neurol\u00f3gicos<\/strong>\u00a0(AVC), dor abdominal por\u00a0<strong>isquemia intestinal<\/strong>, dor de pernas (isquemia)<\/li><li>Em alguns casos, <strong>sinais de insufici\u00eancia a\u00f3rtica aguda<\/strong>\u00a0(falta de ar importante, sopro novo)<\/li><\/ul><div>\u00a0<\/div><p><strong>Aten\u00e7\u00e3o:<\/strong>\u00a0\u00e9 uma\u00a0<strong>emerg\u00eancia<\/strong>\u00a0\u2014\u00a0<strong>procure pronto atendimento imediatamente<\/strong>\u00a0se houver esses sintomas.\u00a0<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c30b176 blur elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"c30b176\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f5678ad elementor-widget elementor-widget-heading\" data-id=\"f5678ad\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">3. O que esperar? (hist\u00f3ria natural)<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4dc78ca elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"4dc78ca\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Sem tratamento adequado e\u00a0<strong>r\u00e1pido<\/strong>, o risco de\u00a0<strong>morte precoce<\/strong>\u00a0\u00e9 alto, sobretudo no\u00a0<strong>Tipo A<\/strong>\u00a0(pode ocorrer\u00a0<strong>tamponamento card\u00edaco<\/strong>,\u00a0<strong>AVC<\/strong>,\u00a0<strong>infarto<\/strong>,\u00a0<strong>ruptura<\/strong>). No\u00a0<strong>Tipo B<\/strong>, as principais amea\u00e7as s\u00e3o\u00a0<strong>ruptura<\/strong>\u00a0e\u00a0<strong>mal perfus\u00e3o<\/strong>\u00a0de \u00f3rg\u00e3os (intestino, rins, membros). O progn\u00f3stico melhora muito com diagn\u00f3stico e terap\u00eautica\u00a0<strong>precoces<\/strong>\u00a0em centros especializados.\u00a0<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8e4cb4e blur elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"8e4cb4e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2f24ad7 elementor-widget elementor-widget-heading\" data-id=\"2f24ad7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">4. Como tratar? (op\u00e7\u00f5es atuais)<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fd507ee elementor-widget elementor-widget-heading\" data-id=\"fd507ee\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">A) Medidas imediatas (para todos os casos)<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-486a416 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"486a416\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<ul><li><strong>Controle da dor<\/strong>(analg\u00e9sicos potentes).<\/li><li><strong>\u201cAnti-impulso\u201d hemodin\u00e2mico:<\/strong>reduzir rapidamente a\u00a0<strong>frequ\u00eancia card\u00edaca para ~60\u201380 bpm<\/strong>\u00a0e a\u00a0<strong>press\u00e3o sist\u00f3lica &lt;120 mmHg<\/strong>\u00a0(ou a menor que mantenha perfus\u00e3o), iniciando\u00a0<strong>betabloqueador IV<\/strong>\u00a0(ex.: esmolol, labetalol) e, se preciso,\u00a0<strong>vasodilatador<\/strong>\u00a0(ex.: nitroprussiato, nicardipina). Manter\u00a0<strong>betabloqueador no longo prazo<\/strong>.\u00a0<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e29fc5a elementor-widget elementor-widget-heading\" data-id=\"e29fc5a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">B) Dissec\u00e7\u00e3o Tipo A (aorta ascendente)<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c0b4973 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"c0b4973\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<ul><li><strong>Regra geral: <\/strong><strong>cirurgia de urg\u00eancia<\/strong>\u00a0para substituir\/reparar o segmento acometido e tratar complica\u00e7\u00f5es associadas (ex.: insufici\u00eancia a\u00f3rtica, rotura). T\u00e9cnicas incluem\u00a0<strong>substitui\u00e7\u00e3o da aorta ascendente\/raiz<\/strong>\u00a0e, em casos selecionados, estrat\u00e9gias h\u00edbridas como\u00a0<strong>\u201cfrozen elephant trunk\u201d<\/strong>\u00a0conforme a anatomia.\u00a0<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-be4bec4 elementor-widget__width-initial elementor-widget elementor-widget-image\" data-id=\"be4bec4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"800\" height=\"341\" src=\"https:\/\/drciroreis.com.br\/wp-content\/uploads\/2025\/11\/jcdd-12-00023-g001-1-1024x437.webp\" class=\"attachment-large size-large wp-image-271\" alt=\"\" srcset=\"https:\/\/drciroreis.com.br\/wp-content\/uploads\/2025\/11\/jcdd-12-00023-g001-1-1024x437.webp 1024w, https:\/\/drciroreis.com.br\/wp-content\/uploads\/2025\/11\/jcdd-12-00023-g001-1-300x128.webp 300w, https:\/\/drciroreis.com.br\/wp-content\/uploads\/2025\/11\/jcdd-12-00023-g001-1-768x328.webp 768w, https:\/\/drciroreis.com.br\/wp-content\/uploads\/2025\/11\/jcdd-12-00023-g001-1.webp 1034w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-068337b blur elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"068337b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-101a002 elementor-widget elementor-widget-heading\" data-id=\"101a002\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">C) Dissec\u00e7\u00e3o Tipo B (aorta descendente)<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6bcf50d elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"6bcf50d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<ul>\n<li><strong>N\u00e3o complicada: <\/strong>tratamento&nbsp;<strong>cl\u00ednico otimizado<\/strong>&nbsp;(anti-impulso + vigil\u00e2ncia intensiva).<\/li>\n<li><strong>Complicada&nbsp;<\/strong>(qualquer&nbsp;<strong>malperfus\u00e3o<\/strong>,&nbsp;<strong>rotura\/hematoma em expans\u00e3o<\/strong>,&nbsp;<strong>dor refrat\u00e1ria<\/strong>,&nbsp;<strong>hipertens\u00e3o intrat\u00e1vel<\/strong>,&nbsp;<strong>expans\u00e3o r\u00e1pida<\/strong>): prefer\u00eancia por&nbsp;<strong>reparo endovascular com endopr\u00f3tese (TEVAR)<\/strong>&nbsp;quando a anatomia permite; cirurgia aberta fica para situa\u00e7\u00f5es espec\u00edficas. Em casos&nbsp;<strong>selecionados<\/strong>&nbsp;de alto risco anat\u00f4mico\/funcional, considera-se TEVAR&nbsp;<strong>precoce<\/strong>&nbsp;mesmo sem complica\u00e7\u00f5es declaradas.&nbsp;<\/li>\n<\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d01d2fd elementor-widget__width-initial elementor-widget elementor-widget-image\" data-id=\"d01d2fd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"906\" src=\"https:\/\/drciroreis.com.br\/wp-content\/uploads\/2025\/11\/Group-3-904x1024.webp\" class=\"attachment-large size-large wp-image-272\" alt=\"\" srcset=\"https:\/\/drciroreis.com.br\/wp-content\/uploads\/2025\/11\/Group-3-904x1024.webp 904w, https:\/\/drciroreis.com.br\/wp-content\/uploads\/2025\/11\/Group-3-265x300.webp 265w, https:\/\/drciroreis.com.br\/wp-content\/uploads\/2025\/11\/Group-3-768x870.webp 768w, https:\/\/drciroreis.com.br\/wp-content\/uploads\/2025\/11\/Group-3.webp 1286w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9ce10f9 blur elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"9ce10f9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7bf1809 elementor-widget-mobile__width-initial elementor-widget elementor-widget-heading\" data-id=\"7bf1809\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">5. O que esperar depois do tratamento?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-62ef3bd elementor-widget elementor-widget-heading\" data-id=\"62ef3bd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">A) Acompanhamento ap\u00f3s cirurgia ou TEVAR e nos casos tratados clinicamente<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-85b9f9a elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"85b9f9a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<ul><li><strong>Press\u00e3o arterial rigorosamente controlada<\/strong>(alvos e esquema individualizados, tipicamente mantendo\u00a0<strong>PAS &lt;120\u2013130 mmHg<\/strong>\u00a0com betabloqueador como base).<\/li><li><strong>Imagem seriada da aorta<\/strong>: recomenda-se vigil\u00e2ncia em<strong>1 m\u00eas<\/strong>\u00a0(quando poss\u00edvel), depois em\u00a0<strong>6 e 12 meses<\/strong>, e\u00a0<strong>anualmente<\/strong>\u00a0se est\u00e1vel (TC\/RM; o cronograma pode ser ajustado conforme o caso e o segmento tratado).\u00a0<\/li><li><strong>Estilo de vida<\/strong>: <strong>cessar tabagismo<\/strong>, controlar\u00a0<strong>colesterol\/diabetes<\/strong>,\u00a0<strong>evitar picos de press\u00e3o<\/strong>\u00a0(ex.: levantar\u00a0<strong>cargas m\u00e1ximas<\/strong>\u00a0com apneia).<\/li><li><strong>Avalia\u00e7\u00e3o gen\u00e9tica\/familiar <\/strong>quando houver suspeita de\u00a0<strong>aortopatias heredit\u00e1rias<\/strong>\u00a0(Marfan, Loeys-Dietz, v\u00e1lvula\u00a0<strong>bic\u00faspide<\/strong>\u00a0com hist\u00f3ria familiar), com eventual\u00a0<strong>rastreamento de parentes de 1\u00ba grau<\/strong>. ]<\/li><\/ul><div>\u00a0<\/div><p><strong>Sinais de alerta ap\u00f3s a alta:<\/strong>\u00a0dor\u00a0<strong>nova<\/strong>\u00a0ou\u00a0<strong>intensa<\/strong>\u00a0em peito\/costas\/abd\u00f4men,\u00a0<strong>desmaio<\/strong>,\u00a0<strong>falta de ar importante<\/strong>,\u00a0<strong>d\u00e9ficits neurol\u00f3gicos<\/strong>, febre persistente \u2014 procurar\u00a0<strong>emerg\u00eancia<\/strong>.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-dd22127 blur elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"dd22127\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-51f7c90 elementor-widget elementor-widget-heading\" data-id=\"51f7c90\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Quando procurar ajuda com urg\u00eancia<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-10d045e elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"10d045e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<ul><li><strong>Dor s\u00fabita, muito forte, em \u201crasgo\u201d <\/strong>no peito\/costas\/abd\u00f4men<\/li><li><strong>Desmaio<\/strong>,\u00a0<strong>fraqueza<\/strong>\u00a0em um lado do corpo,\u00a0<strong>fala enrolada<\/strong><\/li><li><strong>Falta de ar intensa<\/strong>, sudorese fria,\u00a0<strong>queda de press\u00e3o<\/strong><\/li><li><strong>Dor abdominal\u00a0<\/strong>com v\u00f4mitos\/diarreia e piora r\u00e1pida<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ce27518 blur elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"ce27518\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c15ad34 elementor-widget elementor-widget-heading\" data-id=\"c15ad34\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Como se preparar para a consultas e exames (seguimento)<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1c586c0 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"1c586c0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<ul><li>Leve a\u00a0<strong>lista de medicamentos<\/strong>\u00a0(nome\/dose) e\u00a0<strong>medidas domiciliares de press\u00e3o<\/strong>.<\/li><li>Traga\u00a0<strong>exames de imagem pr\u00e9vios<\/strong>\u00a0(TC\/RM\/eco) para compara\u00e7\u00e3o.<\/li><li>Informe\u00a0<strong>hist\u00f3ria familiar<\/strong>\u00a0de aneurisma\/dissec\u00e7\u00e3o,\u00a0<strong>s\u00edndromes gen\u00e9ticas<\/strong>\u00a0e\u00a0<strong>h\u00e1bitos<\/strong>\u00a0(tabagismo).<\/li><li>Pergunte sobre\u00a0<strong>retorno ao trabalho<\/strong>\u00a0e\u00a0<strong>atividades f\u00edsicas<\/strong>\u00a0(planos graduais, evitando picos press\u00f3ricos).<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-3777924 e-flex e-con-boxed e-con e-parent\" data-id=\"3777924\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4c0cae0 elementor-widget elementor-widget-heading\" data-id=\"4c0cae0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Perguntas frequentes (FAQ)<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5b8407c elementor-widget elementor-widget-eael-adv-accordion\" data-id=\"5b8407c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"eael-adv-accordion.default\">\n\t\t\t\t\t            <div class=\"eael-adv-accordion\" id=\"eael-adv-accordion-5b8407c\" data-scroll-on-click=\"no\" data-scroll-speed=\"300\" data-accordion-id=\"5b8407c\" data-accordion-type=\"accordion\" data-toogle-speed=\"300\">\n            <div class=\"eael-accordion-list\">\n\t\t\t\t\t<div id=\"1-disseco-e-aneurisma-so-a-mesma-coisa\" class=\"elementor-tab-title eael-accordion-header\" tabindex=\"0\" data-tab=\"1\" aria-controls=\"elementor-tab-content-9591\"><span class=\"fa-accordion-icon fa-accordion-icon-svg eaa-svg eael-advanced-accordion-icon-closed\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"20\" height=\"19\" viewBox=\"0 0 20 19\" fill=\"none\"><path d=\"M6.677 18.461L5.007 15.647L1.831 14.962L2.143 11.685L0 9.231L2.144 6.777L1.831 3.501L5.008 2.816L6.677 0.000999928L9.654 1.258L12.631 0L14.301 2.816L17.477 3.5L17.165 6.777L19.309 9.231L17.167 11.685L17.478 14.962L14.301 15.646L12.632 18.462L9.654 17.204L6.677 18.461ZM8.604 12.089L13.562 7.131L12.854 6.411L8.604 10.661L6.454 8.523L5.746 9.231L8.604 12.089Z\" fill=\"#0078FF\"><\/path><\/svg><\/span><span class=\"fa-accordion-icon fa-accordion-icon-svg eaa-svg eael-advanced-accordion-icon-opened\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"20\" height=\"19\" viewBox=\"0 0 20 19\" fill=\"none\"><path d=\"M6.677 18.461L5.007 15.647L1.831 14.962L2.143 11.685L0 9.231L2.144 6.777L1.831 3.501L5.008 2.816L6.677 0.000999928L9.654 1.258L12.631 0L14.301 2.816L17.477 3.5L17.165 6.777L19.309 9.231L17.167 11.685L17.478 14.962L14.301 15.646L12.632 18.462L9.654 17.204L6.677 18.461ZM8.604 12.089L13.562 7.131L12.854 6.411L8.604 10.661L6.454 8.523L5.746 9.231L8.604 12.089Z\" fill=\"#0078FF\"><\/path><\/svg><\/span><span class=\"eael-accordion-tab-title\">1) Dissec\u00e7\u00e3o e aneurisma s\u00e3o a mesma coisa?<\/span><svg aria-hidden=\"true\" class=\"fa-toggle e-font-icon-svg e-fas-angle-right\" viewBox=\"0 0 256 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M224.3 273l-136 136c-9.4 9.4-24.6 9.4-33.9 0l-22.6-22.6c-9.4-9.4-9.4-24.6 0-33.9l96.4-96.4-96.4-96.4c-9.4-9.4-9.4-24.6 0-33.9L54.3 103c9.4-9.4 24.6-9.4 33.9 0l136 136c9.5 9.4 9.5 24.6.1 34z\"><\/path><\/svg><\/div><div id=\"elementor-tab-content-9591\" class=\"eael-accordion-content clearfix\" data-tab=\"1\" aria-labelledby=\"1-disseco-e-aneurisma-so-a-mesma-coisa\"><p>N\u00e3o.\u00a0<strong>Aneurisma<\/strong>\u00a0\u00e9 a\u00a0<strong>dilata\u00e7\u00e3o<\/strong>\u00a0da aorta;\u00a0<strong>dissec\u00e7\u00e3o<\/strong>\u00a0\u00e9 um\u00a0<strong>rasgo<\/strong>\u00a0com sangue separando as camadas da parede. Podem coexistir.\u00a0<\/p><\/div>\n\t\t\t\t\t<\/div><div class=\"eael-accordion-list\">\n\t\t\t\t\t<div id=\"2-todo-tipo-a-opera\" class=\"elementor-tab-title eael-accordion-header\" tabindex=\"0\" data-tab=\"2\" aria-controls=\"elementor-tab-content-9592\"><span class=\"fa-accordion-icon fa-accordion-icon-svg eaa-svg eael-advanced-accordion-icon-closed\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"20\" height=\"19\" viewBox=\"0 0 20 19\" fill=\"none\"><path d=\"M6.677 18.461L5.007 15.647L1.831 14.962L2.143 11.685L0 9.231L2.144 6.777L1.831 3.501L5.008 2.816L6.677 0.000999928L9.654 1.258L12.631 0L14.301 2.816L17.477 3.5L17.165 6.777L19.309 9.231L17.167 11.685L17.478 14.962L14.301 15.646L12.632 18.462L9.654 17.204L6.677 18.461ZM8.604 12.089L13.562 7.131L12.854 6.411L8.604 10.661L6.454 8.523L5.746 9.231L8.604 12.089Z\" fill=\"#0078FF\"><\/path><\/svg><\/span><span class=\"fa-accordion-icon fa-accordion-icon-svg eaa-svg eael-advanced-accordion-icon-opened\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"20\" height=\"19\" viewBox=\"0 0 20 19\" fill=\"none\"><path d=\"M6.677 18.461L5.007 15.647L1.831 14.962L2.143 11.685L0 9.231L2.144 6.777L1.831 3.501L5.008 2.816L6.677 0.000999928L9.654 1.258L12.631 0L14.301 2.816L17.477 3.5L17.165 6.777L19.309 9.231L17.167 11.685L17.478 14.962L14.301 15.646L12.632 18.462L9.654 17.204L6.677 18.461ZM8.604 12.089L13.562 7.131L12.854 6.411L8.604 10.661L6.454 8.523L5.746 9.231L8.604 12.089Z\" fill=\"#0078FF\"><\/path><\/svg><\/span><span class=\"eael-accordion-tab-title\">2) Todo Tipo A opera?<\/span><svg aria-hidden=\"true\" class=\"fa-toggle e-font-icon-svg e-fas-angle-right\" viewBox=\"0 0 256 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M224.3 273l-136 136c-9.4 9.4-24.6 9.4-33.9 0l-22.6-22.6c-9.4-9.4-9.4-24.6 0-33.9l96.4-96.4-96.4-96.4c-9.4-9.4-9.4-24.6 0-33.9L54.3 103c9.4-9.4 24.6-9.4 33.9 0l136 136c9.5 9.4 9.5 24.6.1 34z\"><\/path><\/svg><\/div><div id=\"elementor-tab-content-9592\" class=\"eael-accordion-content clearfix\" data-tab=\"2\" aria-labelledby=\"2-todo-tipo-a-opera\"><p>Na pr\u00e1tica,\u00a0<strong>sim<\/strong>\u00a0\u2014\u00a0<strong>cirurgia urgente<\/strong>\u00a0\u00e9 o tratamento padr\u00e3o para salvar a vida e prevenir ruptura\/complica\u00e7\u00f5es.<\/p><\/div>\n\t\t\t\t\t<\/div><div class=\"eael-accordion-list\">\n\t\t\t\t\t<div id=\"3-quando-o-tipo-b-precisa-de-endoprtese-tevar\" class=\"elementor-tab-title eael-accordion-header\" tabindex=\"0\" data-tab=\"3\" aria-controls=\"elementor-tab-content-9593\"><span class=\"fa-accordion-icon fa-accordion-icon-svg eaa-svg eael-advanced-accordion-icon-closed\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"20\" height=\"19\" viewBox=\"0 0 20 19\" fill=\"none\"><path d=\"M6.677 18.461L5.007 15.647L1.831 14.962L2.143 11.685L0 9.231L2.144 6.777L1.831 3.501L5.008 2.816L6.677 0.000999928L9.654 1.258L12.631 0L14.301 2.816L17.477 3.5L17.165 6.777L19.309 9.231L17.167 11.685L17.478 14.962L14.301 15.646L12.632 18.462L9.654 17.204L6.677 18.461ZM8.604 12.089L13.562 7.131L12.854 6.411L8.604 10.661L6.454 8.523L5.746 9.231L8.604 12.089Z\" fill=\"#0078FF\"><\/path><\/svg><\/span><span class=\"fa-accordion-icon fa-accordion-icon-svg eaa-svg eael-advanced-accordion-icon-opened\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"20\" height=\"19\" viewBox=\"0 0 20 19\" fill=\"none\"><path d=\"M6.677 18.461L5.007 15.647L1.831 14.962L2.143 11.685L0 9.231L2.144 6.777L1.831 3.501L5.008 2.816L6.677 0.000999928L9.654 1.258L12.631 0L14.301 2.816L17.477 3.5L17.165 6.777L19.309 9.231L17.167 11.685L17.478 14.962L14.301 15.646L12.632 18.462L9.654 17.204L6.677 18.461ZM8.604 12.089L13.562 7.131L12.854 6.411L8.604 10.661L6.454 8.523L5.746 9.231L8.604 12.089Z\" fill=\"#0078FF\"><\/path><\/svg><\/span><span class=\"eael-accordion-tab-title\">3) Quando o Tipo B precisa de endopr\u00f3tese (TEVAR)?<\/span><svg aria-hidden=\"true\" class=\"fa-toggle e-font-icon-svg e-fas-angle-right\" viewBox=\"0 0 256 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M224.3 273l-136 136c-9.4 9.4-24.6 9.4-33.9 0l-22.6-22.6c-9.4-9.4-9.4-24.6 0-33.9l96.4-96.4-96.4-96.4c-9.4-9.4-9.4-24.6 0-33.9L54.3 103c9.4-9.4 24.6-9.4 33.9 0l136 136c9.5 9.4 9.5 24.6.1 34z\"><\/path><\/svg><\/div><div id=\"elementor-tab-content-9593\" class=\"eael-accordion-content clearfix\" data-tab=\"3\" aria-labelledby=\"3-quando-o-tipo-b-precisa-de-endoprtese-tevar\"><p>Quando \u00e9\u00a0<strong>complicado<\/strong>\u00a0(malperfus\u00e3o, ruptura\/expans\u00e3o, dor\/hipertens\u00e3o refrat\u00e1rias) e em\u00a0<strong>alguns<\/strong>\u00a0casos selecionados de alto risco; o Heart Team decide caso a caso.\u00a0<\/p><\/div>\n\t\t\t\t\t<\/div><div class=\"eael-accordion-list\">\n\t\t\t\t\t<div id=\"4-qual-a-meta-de-presso-e-batimentos\" class=\"elementor-tab-title eael-accordion-header\" tabindex=\"0\" data-tab=\"4\" aria-controls=\"elementor-tab-content-9594\"><span class=\"fa-accordion-icon fa-accordion-icon-svg eaa-svg eael-advanced-accordion-icon-closed\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"20\" height=\"19\" viewBox=\"0 0 20 19\" fill=\"none\"><path d=\"M6.677 18.461L5.007 15.647L1.831 14.962L2.143 11.685L0 9.231L2.144 6.777L1.831 3.501L5.008 2.816L6.677 0.000999928L9.654 1.258L12.631 0L14.301 2.816L17.477 3.5L17.165 6.777L19.309 9.231L17.167 11.685L17.478 14.962L14.301 15.646L12.632 18.462L9.654 17.204L6.677 18.461ZM8.604 12.089L13.562 7.131L12.854 6.411L8.604 10.661L6.454 8.523L5.746 9.231L8.604 12.089Z\" fill=\"#0078FF\"><\/path><\/svg><\/span><span class=\"fa-accordion-icon fa-accordion-icon-svg eaa-svg eael-advanced-accordion-icon-opened\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"20\" height=\"19\" viewBox=\"0 0 20 19\" fill=\"none\"><path d=\"M6.677 18.461L5.007 15.647L1.831 14.962L2.143 11.685L0 9.231L2.144 6.777L1.831 3.501L5.008 2.816L6.677 0.000999928L9.654 1.258L12.631 0L14.301 2.816L17.477 3.5L17.165 6.777L19.309 9.231L17.167 11.685L17.478 14.962L14.301 15.646L12.632 18.462L9.654 17.204L6.677 18.461ZM8.604 12.089L13.562 7.131L12.854 6.411L8.604 10.661L6.454 8.523L5.746 9.231L8.604 12.089Z\" fill=\"#0078FF\"><\/path><\/svg><\/span><span class=\"eael-accordion-tab-title\">4) Qual \u00e9 a meta de press\u00e3o e batimentos?<\/span><svg aria-hidden=\"true\" class=\"fa-toggle e-font-icon-svg e-fas-angle-right\" viewBox=\"0 0 256 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M224.3 273l-136 136c-9.4 9.4-24.6 9.4-33.9 0l-22.6-22.6c-9.4-9.4-9.4-24.6 0-33.9l96.4-96.4-96.4-96.4c-9.4-9.4-9.4-24.6 0-33.9L54.3 103c9.4-9.4 24.6-9.4 33.9 0l136 136c9.5 9.4 9.5 24.6.1 34z\"><\/path><\/svg><\/div><div id=\"elementor-tab-content-9594\" class=\"eael-accordion-content clearfix\" data-tab=\"4\" aria-labelledby=\"4-qual-a-meta-de-presso-e-batimentos\"><p>Inicialmente,\u00a0<strong>PAS &lt;120 mmHg<\/strong>\u00a0(ou o menor valor que mantenha perfus\u00e3o) e\u00a0<strong>FC 60\u201380 bpm<\/strong>, com\u00a0<strong>betabloqueador <\/strong>de primeira linha.<\/p><\/div>\n\t\t\t\t\t<\/div><div class=\"eael-accordion-list\">\n\t\t\t\t\t<div id=\"5-por-quanto-tempo-devo-fazer-imagens-de-controle\" class=\"elementor-tab-title eael-accordion-header\" tabindex=\"0\" data-tab=\"5\" aria-controls=\"elementor-tab-content-9595\"><span class=\"fa-accordion-icon fa-accordion-icon-svg eaa-svg eael-advanced-accordion-icon-closed\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"20\" height=\"19\" viewBox=\"0 0 20 19\" fill=\"none\"><path d=\"M6.677 18.461L5.007 15.647L1.831 14.962L2.143 11.685L0 9.231L2.144 6.777L1.831 3.501L5.008 2.816L6.677 0.000999928L9.654 1.258L12.631 0L14.301 2.816L17.477 3.5L17.165 6.777L19.309 9.231L17.167 11.685L17.478 14.962L14.301 15.646L12.632 18.462L9.654 17.204L6.677 18.461ZM8.604 12.089L13.562 7.131L12.854 6.411L8.604 10.661L6.454 8.523L5.746 9.231L8.604 12.089Z\" fill=\"#0078FF\"><\/path><\/svg><\/span><span class=\"fa-accordion-icon fa-accordion-icon-svg eaa-svg eael-advanced-accordion-icon-opened\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"20\" height=\"19\" viewBox=\"0 0 20 19\" fill=\"none\"><path d=\"M6.677 18.461L5.007 15.647L1.831 14.962L2.143 11.685L0 9.231L2.144 6.777L1.831 3.501L5.008 2.816L6.677 0.000999928L9.654 1.258L12.631 0L14.301 2.816L17.477 3.5L17.165 6.777L19.309 9.231L17.167 11.685L17.478 14.962L14.301 15.646L12.632 18.462L9.654 17.204L6.677 18.461ZM8.604 12.089L13.562 7.131L12.854 6.411L8.604 10.661L6.454 8.523L5.746 9.231L8.604 12.089Z\" fill=\"#0078FF\"><\/path><\/svg><\/span><span class=\"eael-accordion-tab-title\">5) Por quanto tempo devo fazer imagens de controle?<\/span><svg aria-hidden=\"true\" class=\"fa-toggle e-font-icon-svg e-fas-angle-right\" viewBox=\"0 0 256 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M224.3 273l-136 136c-9.4 9.4-24.6 9.4-33.9 0l-22.6-22.6c-9.4-9.4-9.4-24.6 0-33.9l96.4-96.4-96.4-96.4c-9.4-9.4-9.4-24.6 0-33.9L54.3 103c9.4-9.4 24.6-9.4 33.9 0l136 136c9.5 9.4 9.5 24.6.1 34z\"><\/path><\/svg><\/div><div id=\"elementor-tab-content-9595\" class=\"eael-accordion-content clearfix\" data-tab=\"5\" aria-labelledby=\"5-por-quanto-tempo-devo-fazer-imagens-de-controle\"><p><strong>Para sempre<\/strong>\u00a0(intervalos se alongam se tudo estiver est\u00e1vel). Um esquema comum \u00e9\u00a0<strong>1, 6 e 12 meses<\/strong>\u00a0ap\u00f3s o evento\/tratamento e\u00a0<strong>anual<\/strong>\u00a0depois.\u00a0<\/p><\/div>\n\t\t\t\t\t<\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-00b05af elementor-mobile-align-center elementor-widget elementor-widget-button\" data-id=\"00b05af\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/api.whatsapp.com\/send\/?phone=55062999875623&#038;text=Ol%C3%A1%2CGostaria+de+agendar+uma+consulta+com+o+Dr.+Ciro+Reis.+&#038;type=phone_number&#038;app_absent=0\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">ENTRE EM CONTATO AGORA<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2542f47 blur elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"2542f47\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1dfdd8f elementor-widget elementor-widget-heading\" data-id=\"1dfdd8f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Avisos importantes<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-45c3059 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"45c3059\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<ul><li>Este conte\u00fado <strong>n\u00e3o substitui<\/strong>\u00a0a consulta m\u00e9dica.<\/li><\/ul><div>\u00a0<\/div><ul><li>As decis\u00f5es devem ser tomadas por\u00a0<strong>equipe especializada<\/strong>, considerando\u00a0<strong>localiza\u00e7\u00e3o, tamanho, crescimento, gen\u00e9tica<\/strong>\u00a0e suas\u00a0<strong>prefer\u00eancias<\/strong>.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Dr ciro reis Dissec\u00e7\u00e3o de Aorta Resumo em 1 minuto:\u00a0a dissec\u00e7\u00e3o de aorta \u00e9 uma\u00a0emerg\u00eancia\u00a0em que surge uma \u201crasgadura\u201d na parede interna da aorta, permitindo que o sangue crie um\u00a0\u201ccanal falso\u201d\u00a0dentro do vaso. Quando envolve a\u00a0aorta ascendente\u00a0(pr\u00f3xima ao cora\u00e7\u00e3o) chama-se\u00a0Tipo A\u00a0e\u00a0quase sempre precisa de cirurgia urgente. Quando envolve apenas a\u00a0aorta descendente, \u00e9\u00a0Tipo B, tratada inicialmente [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"_angie_page":false,"footnotes":""},"class_list":["post-265","page","type-page","status-publish","hentry"],"_hostinger_reach_plugin_has_subscription_block":false,"_hostinger_reach_plugin_is_elementor":false,"_links":{"self":[{"href":"https:\/\/drciroreis.com.br\/index.php?rest_route=\/wp\/v2\/pages\/265","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drciroreis.com.br\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/drciroreis.com.br\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/drciroreis.com.br\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/drciroreis.com.br\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=265"}],"version-history":[{"count":22,"href":"https:\/\/drciroreis.com.br\/index.php?rest_route=\/wp\/v2\/pages\/265\/revisions"}],"predecessor-version":[{"id":537,"href":"https:\/\/drciroreis.com.br\/index.php?rest_route=\/wp\/v2\/pages\/265\/revisions\/537"}],"wp:attachment":[{"href":"https:\/\/drciroreis.com.br\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=265"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}