Which are the causes of Aortic Dissection?

Ther are many causes. But many are still unknown. Research done since 2009 shows that an increasing part of all dissection is related to familial diseases. Many of these are still not classified. Hypertension, drug abuse of cocaine, car accidents with extreme rise of blood pressure, atherosclerosis, connective tissue diseases - the reasons are many. IF you have another person in your family who have same type of problems - ask to have the whole family checked. It can be a familial diseases present also with your children or siblings.

In my case it was due to extreme stress and extremely high blood pressure for an extended amount of time. (Over 4 months)

In meinem Fall war es unerkannter hoher Blutdruck in der Kombination mit durchgängigen Stress . Zudem kommt wahrscheinlich eine erbliche Bindegewebesschwäche.
In der Forschung kommen immer mehr Ursache ans Licht- leider ist aber die Aortendissektion insgesamt noch recht unbekannt bei vielen Ärzten und auch Fachärzten.

Aortic Dissection in my case was caused by genetics. I underwent genetic screening and it was found that I have a mutant gene called ACTA2
This gave me the information and drive to get my blood relatives screened too,
It was found that out of the six family members screened the classic 50 % positive result for the genetic mutation came back.
Three members of my family are now known to have the faulty ACTA2 and are being screened appropriately.

I would urge everyone who has an Aortic Dissection to get themselves screened by genetics experts to safeguard their families.

There are Numerous reasons these happen, Stress , strain the effects of Cholesterol (fats In the blood stream) which with age (and other factors Can...) harden the cholesterol inside the arterial walls should this "goop" harden and act like a scab does on the outside, its going to break away and leave a sore spot which is weakened for a period with an artery there are 3 layers the Intima and Adventitia are thin elastic (hopefully) layers that cover the "Media" which is softer inside layer often becomes part of the blood stream when a Dissection (tear) happens... that is called a "False Lumen" which can extend the length of the aorta and even beyond... Less common today Thanks to Shoulder Harness Use in cars and trucks are Traumatic Aortic Dissections which happens when the body Stops suddenly and the heart keeps moving forward tearing the Aortic Arch the person can bleed to death in minutes (motorcycles) I saw one example of the Motorcyclists heart was turned 90 degrees like | instead of _... Some folks have a genetic disease of one kind or another such as Marfan's Syndrome... (there are a NUMBER of Genomes that have been "identified " these generally fall into a group of various connective tissue disorders,....

Hereditary usually I believe. Stress and poor health habits

The most common theory seems to focus on genetic history

Marfans disease or (very important) SMOKING (Quit now!!)

High bloodpreassure. In some cases other illnesses like Marfan.

I don't think we know enough about the causes of aortic dissection to answer this question. Yes, there could be a genetic syndrome that makes an aortic dissection more likely, but in my case this has not been identified (yet).
Chronic high blood pressure or spikes in blood pressure could cause a dissection, but I was never found to have high blood pressure before. So, I truly do not know what caused mine.

The causes could deseases such as Marfans syndrome or genetic reasons or trauma to the chest

Often genetic disorder. LDS marfans.

Two common reasons are Marfans and genetics. It can be caused by a traumatic imagery to the chest. Mine was determined to be genetic.

Difficult to answer, but be aware that if the aorta is beginning to grow in diameter, this could be a warning sign.

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High blood pressure could be the biggest cause. Illeagal drug use. alcohol use.