Aortic tear blamed in Sen. Lindsey Graham’s sudden death is a fast-killing emergency

The aortic tear that likely caused the sudden death of Sen. Lindsey Graham is a medical emergency that can rapidly kill.

The aorta is our largest artery, like a highway that arches up from the heart and then curves back down through the abdomen — carrying oxygen-rich blood to the rest of the body as other arteries branch off from it.

What doctors call an aortic dissection happens when a tear in its inner lining lets blood rapidly leak between its other layers, according to the American Heart Association. That reduces blood flow to vital organs, and sometimes can lead to a rupture that pours blood into surrounding tissues. It often can be caused by an aortic aneurysm, a weakened spot on the artery that can bulge like a balloon.

Risk factors include high blood pressure, high cholesterol that in turn stiffens arteries — called atherosclerosis — and smoking. It's more common in older people but also can be caused by certain genetic conditions in younger people.

A preliminary medical examiner's report shared by Graham's office said the aortic dissection was related to artery hardening.

Symptoms tend to be sudden, with severe stabbing-like pain, often in the chest or back but sometimes in the neck, jaw or abdomen depending on where in the aorta the tear happened. According to the heart association, people also may suddenly lose consciousness, have clammy or sweaty skin, experience stroke-like symptoms such as sudden weakness on one side of the body, or show signs of shock, including rapid heart rate or confusion.

Fast treatment improves the chances of survival. Depending on where the tear occurred and its extent, surgeons may try to repair it or patch the torn section of the aorta.

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