The procedure usually takes a few hours to complete. The device repairs the diseased aorta and helps to keep it open and allow blood to flow properly to the rest of the body.ĭepending on the type of disease, the TEVAR procedure usually provides a cure. This device is made of a fabric – covered metal mesh which is fully opened under x-ray. To fix or “re-line” the aorta, a device is placed through a small hole in the groin, known as a stent graft. Damage to the aorta from major trauma (transection).Narrowing of the inside of the aorta (stenosis).Separation of one of the aorta’s three layers (dissection).This minimally invasive procedure is called Thoracic Endovascular Aortic Repair (TEVAR) and can be used to address: Endovascular aortic repairĪneurysms (weakening of the wall or ballooning out of the aorta) of the thoracic and abdominal aorta can be repaired without surgically opening the chest or abdomen. You will be given advice about your recovery and rehabilitation programme. It will take approximately 2-3 months to make a full recovery from aortic surgery. The average hospital stay is between 5-10 days. If there is disease of the aortic valve or other valves in the heart or coronary artery disease is present, these conditions will be operated on during the same procedure. During surgery, the diseased portion of the aorta is replaced with an artificial alternative. The heart is connected to a heart-lung bypass machine which takes over the work of the heart and the lungs, circulating oxygenated blood throughout the body. The surgery is performed through an incision in the middle of the chest. Some of the aneurysms in the lower parts of the aorta are treated with different forms of stents, which means the patient will not have open surgery. In some the actual aortic valve needs replacing as well. The aim of surgery is to treat aneurysm, mainly by removing it and replacing it with artificial material. Aortic dissection (tear in the aorta) is a life-threatening emergency. Ideally, surgery for a thoracic aortic aneurysm can be planned electively. Genetic screening consists of blood sampling and sometimes testing of saliva.ĭepending on the size and growth rate of your thoracic aortic aneurysm, treatment may vary from watchful waiting (closely watching a patient’s condition but not giving treatment unless symptoms appear or change).to emergency surgery.It is performed by injecting a dye into the groin or an arm vessel and then imaging the coronary arteries. Coronary angiography is a test to evaluate the state of the coronary arteries (vessels running on the surface of the heart).Echocardiography is an ultrasound scan which evaluates the aneurysm, heart valves and function of the ventricles (the pumping chambers of the heart).Įach test will take half to one hour and is performed as out-patient.MRI is another form of imaging to evaluate the aneurysm and sometimes the flow in the vessels.CT is the most common test to evaluate the aortic aneurysm.An incidental murmur can also be found on routine examination by a GP or other health check. Some patients have a family history of aneurysm. ![]() Some present with high blood pressure, chest pain and/or shortness of breath. Many patients have no symptoms and their problem is diagnosed on routine testing.
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