@keke73 I understand why you are overwhelmed. A Stanford Type A aortic dissection is not something a patient should be left to figure out alone. I survived a Type A aortic dissection in 2015 and had emergency open-heart surgery with a Dacron graft. After something that serious, blood pressure control, chest pain, back pain, headaches, vision changes, and any unusual fluid from the nose need clear answers from the treating doctors. A blood pressure of 174/94 with sharp chest and back pain after a Type A dissection history is not something I would personally ignore. I would want a cardiothoracic surgeon, cardiologist, or aortic specialist to review the imaging, the repair, the medications, and the current symptoms.

I would call the doctor’s office and schedule a follow-up appointment specifically to get a clear understanding of what the doctor expects going forward. I would ask them to explain the blood pressure plan, the medication plan, the imaging results, the aorta measurements, and what symptoms require urgent care. I would also bring a written list of concerns so nothing gets missed. You deserve a direct explanation of what was repaired, what remains dissected if anything, what your aorta measures now, what blood pressure target they want, why you are on that dose of metoprolol, and what symptoms mean emergency care. You are right that patients should be told the truth. Not vague answers. Not dismissal. Clear facts. Peace.