Treatment of aortic aneurysm

In asymptomatic patients, treatment of an aortic aneurysm is based on the size of an aneurysm, how fast it is growing, and the risk of rupture. If an aneurysm is large and fast-growing, a surgical treatment is indicated.

In patients who have symptoms such as chest pain, abdominal pain or compression of adjacent organs; surgery is highly recommended.

Small aneurysms rarely rupture and are usually treated with high blood pressure medicines. This helps lower blood pressure and stress on the aortic wall. In patients who are at risk of coronary artery disease, a doctor may suggest the patient to exercise more, eat a healthy diet, and stop smoking. If the patient has high cholesterol, a doctor may prescribe medicine to help lower cholesterol.

Currently, there are two methods of aortic aneurysm repair called open repair and endovascular aneurysm repair. Endovascular aneurysm repair is increasingly popular since it is a less invasive procedure with a lower mortality rate while also providing long term efficacy compared to open repair.

“Although it is possible to repair a ruptured aortic aneurysm with emergency surgery, the risk is much higher and there are higher chances of complications where the mortality rate is more than 50%. However, if an aortic aneurysm is treated before rupture, the success rate of treatment is over 95%.”

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