Type of Surgery
Information

Last updated: 11/24/2009
Aortic aneurysm repair involves the removal of a dilated (enlarged) portion of the aorta replaced by a woven or knitted Dacron graft to continue uninterrupted blood flow through the aorta and all branch vessels.
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Your aorta is the major artery leaving the heart, but extends to the abdomen. The video shows how a bulging out of the aorta (abdominal aortic aneurysm) is treated with a stent.
An incision is made in the abdomen (A), and the aneurysm is visualized (B). The aorta is clamped above the aneurysm, and the aorta is cut open (C). The clotted blood is removed (D). A synthetic graft may be used to replace the part of the aorta that had the aneurysm, and it is stitched in place (E). The aorta is then closed over the graft (F). (Illustration by GGS Inc.)
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Other Information
An aortic aneurysm is a general term for any swelling (dilatation or aneurysm) of the aorta, usually representing an underlying weakness in the wall of the aorta at that location. While the stretched vessel may occasionally cause discomfort, a greater concern is the risk of rupture, which causes severe pain; massive internal hemorrhage; and, without prompt treatment, results in a quick death.
The definitive treatment for an aortic aneurysm is surgical repair of the aorta. This typically involves opening up of the dilated portion of the aorta and insertion of a synthetic (Dacron or Gore-tex) patch tube. Once the tube is sewn into the proximal and distal portions of the aorta, the aneurysmal sac is closed around the artificial tube. Instead of sewing, the tube ends, made rigid and expandable by nitinol wireframe, can be much more simply and quickly inserted into the vascular stumps and there permanently fixed by external ligature
Other Information
From 1979–2005, the total number of inpatient cardiovascular operations and procedures increased 484 percent to 6,989,000 annually. (AHA computation.)
From: AHA computation
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