An open Abdominal Aortic Aneurysm repair is an alternative to endovascular or stent graft repair. This procedure has been used for abdominal aortic aneurysm repair since the 1950’s, and involves surgical exposure of the diseased aorta through an abdominal incision. The aneurysmal portion is replaced with a graft made of Dacron or PTFE. This procedure may have increased peri operative morbidity but long term mortality is equal to endovascular repair(EVAR), and in fact there are long term benefits when compared to an EVAR. The hospital stay is typically 5-7 days and the recovery time is approximately 6 weeks. The decision to proceed with an open repair or EVAR will be based on your arterial anatomy, your age, overall health and life expectancy. These issues will be discussed with your surgeon.
An ultrasound or CT scan of the abdomen may detect the aneurysm. Often, AAA are identified on a routine physical exam. In many cases, AAA are identified while a patient is undergoing tests for other problems. Depending on the size of the aneurysm, surgical aneurysm repair may be necessary to reduce the risk of a rupture. There are different options available in the treatment of AAA. Outcomes following repair are generally favorable.
Once ruptured, the outcome for patients is poor, but emergent treatment can be successful, and in some cases, patients will make a complete recovery.