How Are Aortic Aneurysms Treated

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To treat aortic aneurysms, your doctor may advise you to take some medicines or undergo a surgery. This will still depend on the on several factors, which include the aneurysm’s size, the patient’s age, and the patient’s general health condition.

As a patient, if you have large aortic aneurysms with the size of 5.5cm or larger, your doctor will advise you to undergo a surgery. This is either to strengthen the swollen area of the aorta in your body or to replace the aorta with synthetic tubing. It is important to undergo the procedure since there is risk that the aneurysm could rupture. For patients with small to medium sized aortic aneurysms you will be offered regular scans to monitor its size. Your doctor will also advise you to do some lifestyle changes to prevent the aneurysms from developing. You would have to stop smoking and maintain a healthy diet. There are also instances when you need to take medications to reduce your cholesterol level or blood pressure.

Learn more about the procedures of treating large aortic aneurysms


Patients with aortic aneurysms that are larger than 5.5cm will be referred to a vascular surgeon. A vascular surgeon specializes in diseases of the blood vessels. He or she will assess the size of the aneurysm and your overall health condition before recommending an operation. Your surgeon will also discuss your treatment options and will answer any questions you have regarding the procedure.

Endovascular surgery and open surgery are two surgical techniques used to treat a large aneurysm.  Although both procedures are equally effective, each has its own advantages and disadvantages.

Endovascular surgery is also known as the “keyhole” surgery since the surgeon will make small cuts in your groin. These small cuts will help for the small piece of tubing called a graft to go up through the artery and then into the swollen section of aorta. This will be sealed to the wall of the aorta at both ends. Endovascular surgery reinforces the aorta so the risk of aneurysms bursting can be reduced. For your peace of mind, this procedure is known to be very safe. Around 98%-99% of patients undergoing endovascular surgery full recovery from the procedure. Also, the recovery time from the operation is shorter than if you undergo an open surgery.

After the procedure, you’ll have to visit your surgeon for regular scans to ensure that the graft hasn’t slipped or cause any problems. Some patients may need to have surgery again if any problem occurs.

As for the open surgery, your surgeon will cut into your stomach to reach the abdominal aorta and then replace the enlarged area with a graft. The graft will be stitched into place by your surgeon, so it will more likely to stay in place. Since the graft is stitched in place, the risk of undergoing another surgery is lesser compared to endovascular surgery. Open surgery is not advisable for patients who have poor health since it is a major operation and more risky than endovascular surgery.  There’s also a risk of death or heart attack during the procedure.

In the event that your current condition makes it risky for you to undergo surgery, it is still possible to reduce the risk of your aneurysm from rupturing by having regular checkup and scans. This way your surgeon can monitor the size and the condition of the aneurysms.

Be sure to visit your trusted physician immediately if you have aortic aneurysm. Doing so will help you get the medication or surgery that you need. Contact Vascular and Interventional Centre and let their reliable team of staff take your worries away about aortic aneurysm.

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