Aortic Aneurysm

An aortic aneurysm is a potentially life-threatening enlargement of the body's main artery. Early detection and expert management are critical. Dr. Medani specializes in both open surgical repair and minimally invasive EVAR procedures.

Symptoms to Watch For

  • Most aortic aneurysms have no symptoms and are discovered during routine imaging
  • Pulsating sensation in the abdomen (for abdominal aortic aneurysms)
  • Deep, persistent pain in the back or abdomen
  • Sudden, severe abdominal or back pain (may indicate rupture — seek emergency care)
  • Dizziness, rapid heart rate, or low blood pressure (signs of rupture)

How Dr. Medani Treats This

1

Surveillance & Monitoring — Small aneurysms (less than 5.5cm) may be monitored with regular ultrasound scans. Blood pressure control and smoking cessation are essential.

2

Endovascular Aneurysm Repair (EVAR) — A minimally invasive procedure where a stent-graft is inserted through small incisions in the groin and guided to the aneurysm site. The stent lines the inside of the aorta, redirecting blood flow and preventing the aneurysm from expanding or rupturing.

3

Open Surgical Repair — For complex aneurysms not suitable for EVAR, open surgery involves replacing the weakened section of the aorta with a synthetic graft. Dr. Medani has extensive experience in both approaches.

4

Medical Management — Blood pressure medications, cholesterol management, and lifestyle modifications to slow aneurysm growth.

What to Expect

Diagnosis

Aortic aneurysms are diagnosed using ultrasound or CT angiography. Dr. Medani will assess the size, shape, and location of the aneurysm to determine the best management approach.

Before Surgery

Pre-operative assessments include cardiac evaluation, blood tests, and detailed CT scanning to plan the procedure precisely.

The Procedure

EVAR typically takes 2-3 hours and involves a shorter hospital stay (2-3 days). Open repair may require 5-7 days in hospital. Both are performed under general anaesthesia.

Recovery

EVAR recovery is faster — most patients resume normal activities within 2-4 weeks. Open repair recovery takes 6-8 weeks. Regular follow-up imaging is essential for both approaches.

Frequently Asked Questions

What is an aortic aneurysm?
An aortic aneurysm is a bulge or swelling in the aorta, the body's largest artery. It occurs when the wall of the aorta weakens and expands. If it grows too large, it can rupture, which is a life-threatening emergency.
Who is at risk for aortic aneurysms?
Risk factors include age over 65, male sex, smoking, high blood pressure, family history of aneurysms, and connective tissue disorders. Screening is recommended for men over 65 who have ever smoked.
What is EVAR?
Endovascular Aneurysm Repair (EVAR) is a minimally invasive procedure to treat aortic aneurysms. A stent-graft is inserted through small incisions in the groin, avoiding the need for a large abdominal incision. It offers faster recovery and shorter hospital stays compared to open surgery.
How often should an aneurysm be monitored?
Small aneurysms are typically monitored every 6-12 months with ultrasound. The frequency depends on the size and growth rate. Dr. Medani will recommend an appropriate surveillance schedule.

Book a Consultation for Aortic Aneurysm

Schedule a consultation with Dr. Medani to discuss your condition and learn about the treatment options available to you.

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