Aortic aneurysm repair is surgery to fix a bulge in the aorta. The bulge is called an aneurysm. The aorta is the largest artery in the body. It begins at the heart and runs through the chest and abdomen.
The procedure is often done when the aneurysm:
Problems are rare, but all procedures have some risk. The doctor will go over some problems that could happen, such as:
Things that may raise the risk of problems are:
The surgical team may meet with you to talk about:
The doctor will give you general anesthesia. You will be asleep.
The surgery may be done one of two ways:
An incision is made over the area of the aneurysm. This may be the abdomen or chest. The aorta is clamped slightly above and below the aneurysm. Any blood clot inside the aorta is removed. An artificial wall (graft) is used to strengthen the area. The graft will be stitched to the normal aorta on either side. Then, the clamps are removed. The wound is closed with stitches. A bandage will be placed over the site.
A small incision is made in the leg. A stent will be inserted in this incision and into the aorta. It will be moved to the aneurysm. The stent will take pressure off the aorta wall. This will prevent it from bulging or leaking. The incision will then be closed. A bandage will be placed over the site.
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One to a few hours
Soreness is common after the procedure. Medicine and home care help.
The usual length of stay is 4 to 7 days. It may be longer if there are problems.
After the procedure, the staff may:
During your stay, the hospital staff will take steps to lower your risk of infection, such as:
There are also steps you can take to lower your risk of infection, such as:
Recovery takes about 6 weeks. Physical activity will be limited during this time.
Call your doctor if you are not getting better or you have:
If you think you have an emergency, call for medical help right away.
American Heart Association
The Society of Thoracic Surgeons
Heart and Stroke Foundation of Canada
University of Ottawa Heart Institute
Abdominal aortic aneurysm repair. Johns Hopkins Medicine website. Available at: https://www.hopkinsmedicine.org/health/conditions-and-diseases/abdominal-aortic-aneurysm/abdominal-aortic-aneurysm-repair. Accessed August 26, 2021.
Aneurysm repair. The Texas Heart Institute website. Available at: https://www.texasheart.org/heart-health/heart-information-center/topics/aneurysm-repair/. Accessed August 26, 2021.
Endovascular aneurysm repair. Department of Surgery—University of California San Francisco website. Available at: https://surgery.ucsf.edu/conditions--procedures/endovascular-aneurysm-repair.aspx. Accessed August 26, 2021.
Hongku K, Dias NV, et al. Total aortic endovascular repair. J Cardiovasc Surg (Torino). 2016;57(6):784-805.
Thoracic aortic aneurysm. EBSCO DynaMed website. Available at: https://www.dynamed.com/condition/thoracic-aortic-aneurysm . Accessed August 26, 2021.
Last reviewed July 2021 by EBSCO Medical Review Board Nicole Meregian, PA