Site Map

Abdominal aortic aneurysm repair - open

AAA - open; Repair - aortic aneurysm - open

Open abdominal aortic aneurysm repair is surgery to fix a widened part in your aorta. This is called an aneurysm. The aorta is the large artery that carries blood to your belly (abdomen), pelvis, and legs.

An aortic aneurysm is when part of this artery becomes too large or balloons outward.

I Would Like to Learn About:

Description

The surgery will take place in an operating room. You will be given general anesthesia (you will be asleep and pain-free).

Your surgeon opens up your belly and replaces the aortic aneurysm with a man-made, cloth-like material.

Here is how it can be done:

Surgery for aortic aneurysm replacement may take 2 to 4 hours. Most people recover in the intensive care unit (ICU) after the surgery.

Why the Procedure Is Performed

Open surgery to repair an abdominal aortic aneurysm is sometimes done as an emergency procedure when there is bleeding inside your body from the aneurysm.

You may have an abdominal aortic aneurysm that is not causing any symptoms or problems. Your health care provider may have found the problem after you had an ultrasound or CT scan done for another reason. There is a risk that this aneurysm may suddenly break open (rupture) if you do not have surgery to repair it. However, surgery to repair the aneurysm may also be risky, depending on your overall health.

You and your provider must decide whether the risk of having this surgery is smaller than the risk of rupture. Surgery is more likely to be recommended if the aneurysm is:

Risks

The risks for this surgery are higher if you have:

Risks of problems or complications are also higher for older people.

Risks for any surgery are:

Risks for this surgery are:

Before the Procedure

Your will have a physical exam and get tests before you have surgery.

Always tell your provider what drugs you are taking, even drugs, supplements, or herbs you bought without a prescription.

If you are a smoker, you should stop smoking at least 4 weeks before your surgery. Your provider can help.

During the 2 weeks before your surgery:

You will have visits with your provider to make sure medical problems such as diabetes, high blood pressure, and heart or lung problems are well treated.

DO NOT drink anything after midnight the day before your surgery, including water.

On the day of your surgery:

After the Procedure

Most people stay in the hospital for 5 to 10 days. During a hospital stay, you will:

Outlook (Prognosis)

Full recovery for open surgery to repair an aortic aneurysm may take 2 or 3 months. Most people make a full recovery from this surgery.

Most people who have an aneurysm repaired before it breaks open (ruptures) have a good outlook.

Related Information

Abdominal aortic aneurysm
Hardening of the arteries
Thoracic aortic aneurysm
Abdominal CT scan
Abdominal MRI scan
Aortic angiography
Smoking - tips on how to quit
Abdominal aortic aneurysm repair - open - discharge
Getting out of bed after surgery

References

De Bruin JL, Baas AF, Buth J, Brinssen M, Verhoeven EL, Cuypers PW, et al: DREAM Study Group. Long-term outcome of open or endovascular repair of abdominal aortic aneurysm. N Engl J Med; 2010:362:1881-9. PMID: 20484396 www.ncbi.nlm.nih.gov/pubmed/20484396.

Tracci MC, Cherry JR KJ. The Aorta. In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 19th ed. Philadelphia, PA: Elsevier Saunders; 2012:chap 62.

United Kingdom EVAR Trial Investigators, Grenhalgh RM, Brown LC, Powell JT, Thompson SG, Epstein D, Sculpher MJ. Endovascular versus open repair of abdominal aortic aneurysm. N Engl J Med; 2010;362:1863-71. PMID: 20382983 www.ncbi.nlm.nih.gov/pubmed/20382983.

BACK TO TOP

Review Date: 12/26/2014  

Reviewed By: Deepak Sudheendra, MD, Assistant Professor of Interventional Radiology & Surgery at the University of Pennsylvania, with an expertise in Vascular Interventional Radiology & Surgical Critical Care, Philadelphia, PA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.

A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org). URAC's accreditation program is an independent audit to verify that A.D.A.M. follows rigorous standards of quality and accountability. A.D.A.M. is among the first to achieve this important distinction for online health information and services. Learn more about A.D.A.M.'s editorial policy, editorial process and privacy policy. A.D.A.M. is also a founding member of Hi-Ethics and subscribes to the principles of the Health on the Net Foundation (www.hon.ch).

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- 2016 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.

adam.com