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 aneurysms 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. The goals of treatment are to reduce the risk of complications from aneurysms. The major risk for untreated aneurysms is rupture, and this threat increases with aneurysm size. The decision to treat an aneurysm with surgery is determined by many factors. This aortic aneurysm treatment procedure is performed in the hospital surgical suite by a vascular surgeon. 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. The surgeon will perform the repair under general anesthesia. After you have been given 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 normal segments of the aorta above and below the bulging section are clamped and the aneurysmal segment is opened. Tubes constructed of artificial material, such as polyester, are 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.
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