Most aneurysms occur in the aorta, the main artery that runs from the heart through the chest and abdomen. Once an aneurysm develops, it will not disappear or reduce in size on its own and you risk dissection or rupture over time.
Some small aneurysms will remain stable in size for many years, while others increase in size over time. As an aortic aneurysm grows, the chance of dissection or rupture increases with the size of the aneurysm. Most aortic aneurysms will eventually need aortic aneurysm surgery to have a skilled surgeon repair the aorta to avert rupture or dissection, which can cause dangerous bleeding or death.
It is critical for a successful outcome that the surgeon performing the aortic repair has experience and expertise with the procedures. GCCSI’s heart surgeons have expertise with four types of advanced procedures to repair aortic aneurysms:
Complex valve-sparing aortic replacement procedures
A surgical treatment for aortic root aneurysms, this method repairs the aneurysm while preserving the aortic valve. A bioprosthetic valve may be used if the patient’s aortic valve cannot be used.
Hybrid arch and thoracoabdominal aortic aneurysm repair
These procedures replace the diseased section of the aorta with a prosthetic graft.
Percutaneous interventions for aortic dissection
Percutaneous approaches use special catheters and devices to treat the condition by way of one or more small puncture sites through the skin instead of the large incision required for traditional heart or vascular surgery.
Thoracic endovascular aortic repair (TEVAR) and endovascular repair of thoracoabdominal aortic aneurysms
Many thoracic and thoracoabdominal aneurysms can be treated with a minimally invasive endovascular stent graft rather than open-chest aneurysm repair. The endovascular stent graft uses catheters inserted in small incisions to guide and deliver a stent-graft to the site of the aneurysm. Once in place, the stent graft diverts blood flow away from the aneurysm.
Each patient’s specific treatment plan will be developed based on size, type, and location of the aneurysm as well as the patient’s general health.
GCCSI surgeons are skilled in using minimally invasive techniques for aortic valve repair and aortic valve replacement. Using minimally invasive techniques reduces the size of the surgical scar and potentially reduces post-operative pain, resulting in a shorter recovery period for the patient.
Click the links below for more information about the diagnoses and procedure.
Diagnosis – AV Regurgitation (PDF)
Diagnosis – AV Stenosis (PDF)
Procedure – AV Replacement (open) (PDF)