Open Abdominal Aortic Aneurysm Repair

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One method of repairing an abdominal aortic aneurysm (AAA) is to open the abdomen and directly replace the swollen aorta with a synthetic tube made of Dacron or PTFE. This is sutured into place and is generally very secure, but is a complex, major operation which can take some time to recover from, and carries risks of complications including heart attack, pneumonia, stroke, or death. Nevertheless, this procedure has been the gold standard of treatment for over 50 years and has a strong track record with good results in experienced hands.

Close to half of abdominal aortic aneurysms are not suitable for standard endovascular aneurysm repair, and will require either complex endovascular repair or open repair. Your surgeon will discuss the options available for repairing your aneurysm, and the advantages and disadvantages of each approach or technique.