Abdominal Aortic Aneurysm
What is traditional open surgery for aneurysms?
The best method to repair an aneurysm depends upon several
factors, including the location and shape of the aneurysm as
well as the physical condition of the patient.
Traditional open surgery as a treatment for abdominal aortic aneurysms and other types of aneurysm includes a long incision to gain access to and repair the aneurysm. Our physicians are recognized internationally for their extensive experience with surgical approaches for treating aneurysms.
Why is this procedure performed? Why do I need this
procedure?
The goals of treatment are to reduce the risk of complications
from aneurysms. The major risk for untreated aneurysms is
rupture and death, and this threat increases with aneurysm size.
The decision to treat an aneurysm with surgery is determined by
many factors, including:
Each patient is evaluated, and treatment will be individualized for the patient's circumstances.
Where is the procedure performed and who performs
this procedure?
This aortic aneurysm treatment procedure is performed in the
hospital surgical suite by a cardiovascular surgeon.
What are the risks and potential complications of the
procedure?
Your doctor will discuss the specific risks and potential
benefits of the recommended procedure with you. Your physician
should discuss both open and endovascular options with you, and
should present the risks and benefits of both of these types of
procedures so you understand your options completely. In some
instances, open surgery may not be an option, while for other
patients, endovascular repair may not be feasible.
This is generally a very safe procedure. However, as with any surgical procedure, there are risks. Complications after traditional aneurysm surgery may include heart-related problems, swelling or infections at the site, or respiratory or urinary infections. More serious problems are rare but may include colon problems or, even more rare, paralysis.
This procedure is safe if the patient is in good health, but for older patients or patients with other significant health problems such as a bad heart or lung disease, they may want to consider the minimally invasive option as advised by their physician. Factors such as age, high blood pressure and smoking also prolong recuperation following surgery.
Special precautions are taken to decrease these risks, and there may be other possible risks. When you meet with your doctor, please ask questions to make sure you understand the risks of the procedure and why the procedure is recommended.
How do I prepare for the procedure?
A few days before the procedure, pre-procedure tests may be
performed to ensure that it is safe to perform the surgery. You
may need to discontinue certain medications before the
procedure. Your health care team will provide specific
instructions to help you prepare for the procedure.
What happens during the procedure?
The surgeon will perform the repair under general anesthesia.
After you have been given the general anesthesia, the surgeon
will make a long incision in the skin to open the chest or
abdomen (depending upon the area in which the aneurysm occurs).
The bulging aortic section is clamped and opened. Dacron tubes
are then positioned inside the artery in the region of the
aneurysm and fastened in place with sutures or stitches to
essentially become a new aorta. This procedure replaces and
repairs the area of the diseased aorta.
How long does the procedure last?
The procedure itself generally takes three to four
hours, but the preparation and recovery time add several hours.
The surgery may require a minimum hospital stay of five to 10
days. Some patients may require a stay at a rehabilitation
facility to regain their independence. Full recovery may
take from four to six weeks.
What happens after the procedure?
Your surgeon will give you specific instructions you need to
follow after the surgery until your incision heals adequately.
Restrictions may include:
Are there any side effects of the aortic aneurysm
treatment?
As with any surgical procedure, you will feel somewhat tired for
a few weeks. You will have some discomfort in the area of the
incision, but will be given pain medication to relieve this.
Many patients will have a diminished appetite for several weeks,
and a number of patients may lose up to 20 pounds around the
time of the surgery and recovery. It is important to stay active
during this time and to continue to try to get up and around
after leaving the hospital.
Results of the procedure
Your doctor will discuss the results of the procedure with you.
Traditional surgery produces very good outcomes: Patients on
average live as long as they would have with no aneurysm.
Patients with aneurysms in general should adopt a healthy
lifestyle, such as watching their diet and maintaining a
routine exercise regimen. These individuals have an
increased risk of heart disease and atherosclerosis, and a full
evaluation of their risk profile for these diseases should be
carried out in conjunction with the aneurysm repair.
How do I find out if I am a candidate for this
procedure?
To find out if you are a candidate for this procedure, please
call McAllen Heart Surgeons at 956-630-9430.
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