Abdominal Aortic Aneurysm Repair
by Editorial Staff and Contributors
The aorta is the largest artery in the body. The abdominal portion of the aorta carries blood to the abdomen, pelvis, and legs. Sometimes the walls of the aorta weaken and bulge in one area. This is called an abdominal aortic aneurysm (AAA). AAAs are most often caused by atherosclerosis, also known as hardening of arteries, and high blood pressure.
Reasons for Procedure TOP
Surgery to repair an AAA is often done when the aneurysm:
Preventive AAA surgery generally has a good outcome for people who are relatively healthy. Emergency surgery to fix an AAA rupture has a much lower survival rate, due to the rapid loss of blood.
Possible Complications TOP
Your doctor will review a list of possible complications, which may include:
Some factors that may increase the risk of complications include:
What to Expect TOP
The procedure varies. It can be done before a rupture as a preventive measure or after a rupture on an emergency basis. The preventive procedure is outlined here.
Prior to Procedure
Your doctor may need detailed pictures of your abdomen, heart, and lungs. These can be made with:
Your doctor may also need a record of your heart activity. This can be made with an electrocardiogram.
Your doctor may ask you to see a cardiologist—a doctor who specializes in heart conditions. The cardiologist will check your heart before surgery.
You may need to stop taking certain medications 1 week before surgery. Talk to your doctor about your regular medications.
On the day of the procedure, you will be given an antibiotic by IV. You may also be given a laxative or enema to clear out your bowels.
General anesthesia will be used. It will block any pain and keep you asleep through the surgery. It is given through an IV.
Description of Procedure TOP
In most cases, an incision is made from the breastbone to below the belly button. The aorta is clamped slightly above and below the aneurysm. Any blood clot on the inside of the aorta is removed. An artificial wall is used to strengthen the area. This is called a graft. The graft will be stitched to the normal aorta on either side. Then, the clamps are removed. The wound is closed with stitches.
How Long Will It Take? TOP
About 4-6 hours
How Much Will It Hurt? TOP
Anesthesia prevents pain during the procedure. Most people will be sore after the procedure and will be given pain medications.
Average Hospital Stay TOP
The length of your hospital stay depends on your overall condition. Ask your doctor how long you should plan to stay.
Post-procedure Care TOP
At the Hospital
While you are recovering at the hospital, you may receive the following care:
When you return home, do the following to help ensure a smooth recovery:
Call Your Doctor TOP
After you leave the hospital, contact your doctor if any of the following occurs:
In case of an emergency, call for emergency medical services right away.
National Heart, Lung, and Blood Institute, NIH
The Society for Vascular Surgery
The Canadian Society for Vascular Surgery
Heart and Stroke Foundation of Canada
Abdominal aortic aneurysm (AAA). EBSCO DynaMed website. Available at:
...(Click grey area to select URL)
Updated December 3, 2014. Accessed March 11, 2015.
Hall SW. Endovascular repair of abdominal aortic aneurysms (Home Study Program). AORN Journal. 2003;77(3):630-642.
6/2/2011 DynaMed's Systematic Literature Surveillance
...(Click grey area to select URL)
Mills E, Eyawo O, Lockhart I, Kelly S, Wu P, Ebbert JO. Smoking cessation reduces postoperative complications: a systematic review and meta-analysis. Am J Med. 2011;124(2):144-154.e8.
Last reviewed March 2015 by Michael J. Fucci, DO
Last Updated: 5/2/2014