Treatment of Thoracic Aortic Aneurysm and Aortic Dissection
Aneurysms can continue to increase in size, which can contribute to the weakening of the aortic wall. Treatment may include management of the disease and/or surgery. Preventing rupture of an aneurysm is the primary goal.
At Yale Vascular Surgery, our team includes nationally renowned surgeons who are dedicated to helping patients affected by vascular disease and who have continually excelled in caring for patients with thoracic aortic aneurysms. They will help determine the best-possible comprehensive treatment by using the latest technology and compassionate care.
Should you require surgery, our surgeons will review your surgical plan with you, in detail, so that you know what to expect before, during, and after the surgery.
Each patient’s specific treatment is determined by a number of factors, including:
- Overall health and medical history
- Extent of the disease
- Signs and symptoms
- Patient’s tolerance of medications, procedures, or therapies
- Expectations for the course of the disease
- Patient’s preference
Management of an Aneurysm
The management of a thoracic aortic aneurysm may include monitoring the aneurysm with routine ultrasounds, modifying outstanding risk factors, such as quitting smoking or changing your diet, and medications that can control possible risk factors, such as high blood pressure and diabetes.
Surgery for an Aneurysm
When surgery is necessary, the two primary options include endovascular aneurysm repair (EVAR), which is also known as Endovascular Stent Repair, and open surgery.
Endovascular Aneurysm Repair (EVAR), or Endovascular Stent Repair
EVAR is a minimally invasive procedure that requires only small incisions in the groin. Using an X-ray for visual guidance and specially designed instruments, surgeons repair the aortic wall with a stent-graft. The stent-graft is inserted through the femoral artery and moved into the aorta to the aneurysm.
A stent-graft uses a stent, which is a long cylinder-like tube made of thin, metal mesh framework and a graft, which is made of different materials. The stent is used to hold the graft open and in place.
Thoracic Aortic Aneurysm Open Repair
All open surgeries require an incision, but the type of repair or replacement performed will depend on the location of the aneurysm, the type of aneurysm, and the patient's tolerance for the procedure.