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Updated: Sep 24, 2025

Novel and Innovative Hybrid Technique for Type A Aortic Dissection
Published on: March 28, 2025
A mixed method approach to understanding the impact of COVID-19 on patients with or at risk for aortic dissection
Jenney R Lee1, Courtney Segal2, Jake Howitt3
1Department of Urology, University of Washington, Seattle, WA.
Insights
The COVID-19 pandemic disrupted aortic dissection (AD) care, leaving patients without clear guidance on COVID-19 risks. However, telehealth expanded access to specialized aortic health services, offering unexpected benefits for AD survivors.
Area of Science:
- Cardiovascular Medicine
- Public Health
- Health Services Research
Background:
- Aortic dissection (AD) is a rare, life-threatening condition requiring lifelong management.
- The COVID-19 pandemic significantly impacted healthcare systems globally.
- The specific effects of the pandemic on the aortic dissection community were not well understood.
Purpose of the Study:
- To examine the experiences of the aortic dissection community during the COVID-19 pandemic.
- To understand the impact of the pandemic on aortic health management and patient-provider communication.
- To identify challenges and benefits related to healthcare access during this period.
Main Methods:
- A mixed-methods approach was employed.
- Data were collected from the aortic dissection community between March and October 2020.
- Qualitative and quantitative data were analyzed to capture diverse experiences.
Main Results:
- The aortic dissection community lacked clear guidance on the interplay between aortic health and COVID-19 risk.
- Significant disruptions were reported in routine aortic healthcare.
- Expanded telehealth access provided unforeseen benefits, reducing barriers to specialized care.
Conclusions:
- The COVID-19 pandemic created significant challenges for patients with aortic dissection.
- Telehealth emerged as a valuable tool for maintaining access to specialized aortic care.
- Future strategies should address communication gaps and leverage telehealth for chronic disease management.
Abstract:
Aortic dissection (AD) is a life-threatening rare disease that occurs as a spontaneous tear in the wall of the aorta. Survivors of AD go on to have a chronic disease process that requires lifelong follow-up and management. Although the COVID-19 pandemic has strained health systems and impacted practice in the United States, the effects of these impacts on people living with or at risk for AD is not well understood. This mixed methods project examined the experiences of people in the AD community during the COVID-19 pandemic between March and October 2020. Results reveal that the AD community lacked clear guidance on the role aortic health status plays in COVID-19 risk and experienced significant disruptions in aortic healthcare. At the same time, the new expansion in access to medical care with telehealth conferred unforeseen benefits in the form of reduced barriers for access to specialized aortic health care.
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