An aortic aneurysm is a bulge in part of the body’s main artery, the aorta. This is an important artery because it carries blood from the heart to the rest of the body. If the aneurysm is not repaired, it can burst and cause bleeding that leads to death. There are a few different options for NYU aortic aneurysm repair.
Determining Necessity of Surgery
There are two types of aortic aneurysms, thoracic or abdominal. An abdominal aneurysm occurs in the part of the aorta that passes through the abdomen. Thoracic aneurysms occur in the chest. If there is a high risk of rupturing, the doctor will probably recommend surgery. The patient’s medical condition and ability to withstand the surgery will be considered in making this decision. It is important for the benefits to outweigh the risks.
If these risks are too high, or if the patient is asymptomatic, the doctor may choose to watch and wait. The patient will have regular doctor visits in which the blood pressure, cholesterol, and aneurysm size are all monitored. You may have CT or MRI scans every six months so that the physician can see the size and shape of the aneurysm. This is usually done if the aneurysm is smaller than two inches across.
Another non-surgical treatment option is medication. There are medications available that can help slow the growth of an aneurysm or decrease the risk of rupture. Medications may also be administered to lower blood pressure or cholesterol. These medications can help reduce the strain on the affected part of the aorta.
Surgery is usually recommended for large or growing aneurysms. It may also be recommended for individuals with smaller aneurysms, but who are experiencing symptoms. There are two main types of surgery used in NYU aortic aneurysm repair. The traditional, or open surgery, involves an incision on the chest or stomach. The aneurysm is removed and a graft replaces the damaged part of the blood vessel. Endovascular repair entails the insertion of a stent graft through an artery in the groin. This stent bridges the gap above and below the problem area.
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