Overview

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Aortic Aneurysm occurs when a part of aorta becomes too large or balloons outward. A procedure to repair the ballooned area in the aorta is Aortic Aneurysm Repair.

About Aortic Aneurysm Repair

Aortic Aneurysm occurs when a part of aorta becomes too large or balloons outward. Aorta is a large artery that carries blood to the stomach area of the body, pelvis and legs. Generally, this condition occurs due to weakness in the wall of the artery. A procedure to repair a ballooned area in the aorta is Aortic Aneurysm Repair.

It is also called Abdominal Aortic Aneurysm Repair or AAA Repair. The procedure can be performed in 2 ways

• Open Surgery
• Endovascular Graft Stenting

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Aortic Aneursym develops gradually over a period of time, often without any symptoms. AAA Repair is recommended when the aneurysm is very large (more than 2 inches), growing rapidly (more than 1/4th inch in 6 to 8 months) or bleeding.

Symptoms may include

• Pain in abdomen or back. In some cases, pain may radiate downwards.
• Vomitting
• Rapid Heart Rate
• Dizziness

In most cases, the doctor will recommend Endovascular Repair as compared to an Open Surgery.

Pre-Procedure

Before the procedure, the doctor will recommend

• Strictly stop smoking, in case the patient is a smoker
• Stop taking blood thinning medications, 8 to 10 days before the procedure
• Fasting 8 to 10 hours prior to the surgery

During-Procedure

Open Surgery

• The procedure is performed under general anesthesia, and can take upto 2 to 4 hours.
• Then the surgeon will make a large incision in from the breast bone to the belly button.
• The aneursym is replaced with with a long synthetic graft – a cloth-like material. In some cases, the ends of the graft will be moved through blood vessels in each groin and attached to those in the leg.
• After replacing the aneursym, both the legs are checked for proper blood flow and pulse.
• The incision is then sutured.

Endovascular Repair

• The procedure is performed under general anesthesia or spinal anesthesia, and can take upto 1 to 3 hours.
• The surgeon will make a small incision in the groin region to access the femoral artery.
• A stent and a synthetic graft are inserted into the artery, and guided the up into the aorta to where the aneurysm is located.
• The stent is opened using a spring-like mechanism and attached to the walls of the aorta.
• The aneurysm will eventually shrink around it.
• Using X-rays, the doctor will ensure that the stent is in the right place and the aneurysm is not bleeding inside the body.

Post-Procedure

After the surgery, the patient is monitored in ICU for 1 to 2 days. The patient has to stay in hospital for 5 to 10 days after the surgery. Recovery is faster in endovascular repair than in open surgery.

After discharge, the doctor will recommend to

• Wear special sock or stockings to prevent clotting of blood in the legs
• The surgeon will make a small incision in the groin region to access the femoral artery.
• Avoid any strenuous activity for 6 to 8 weeks
• Get Ultrasound tests done every 6 months to check the recurrence of aneursym

Risk and Complication

Aortic Aneursym Repair is a risky procedure. Risks for this procedure include

• Damage to a nerve, causing weakness, pain, or numbness in the leg
• Kidney failure
• Less supply of blood to legs, kidneys or other organs
• Erectile Dysfucntion
• Stent slippage
• Heart attack, in rare cases
• Breathing problems

Why NICE ?

• We are associated with the best hospitals globally having the emergency infrastructure, fully equipped with the latest technologies and techniques to overcome from every emergency condition.
• Our team of doctors are highly experienced in ‘Emergency Patient Management’ and work together to save the patient.
• Consultation from doctors through e-mail, phone, and video calling.
• Rehabilitation programs are organized to assist complex surgery patients.
• Complete support and assistance being given before and after treatment.
• Cost of treatment is quite less as compared to other service providers.
• We are always ready to offer our helping hand and our services are available 24/7.