Aneurysm repair is a surgical procedure to correct an aneurysm, a weak area in a blood vessel wall that causes the blood vessel to bulge or balloon out and sometimes burst (rupture). It may cause:
-Bleeding into an area around the brain, heart, abdomen -Bleeding that forms a collection of blood (hematoma)
If an aneurysm in the brain ruptures, it is a medical emergency often requiring surgery. Endovascular repair is more often used when this happens. Patients with Congestive heart failure, Diabetes, Cardiopulmonary obstructive disease (COPD), coronary artery disease (CAD) need to monitored periodically if asymptomatic aneurysms are detected during CT scans.
Surgical intervention is the only option to remove the aneurysms. In surgical aneurysm repair, your vascular surgeon repairs or removes an aneurysm through an incision in your skin. The best method to repair each aneurysm depends upon several factors, including the location and shape of the aneurysm as well as the overall health of the patient. Depending upon the location of the aneurysm, either there is complete removal of the aneurysm or cutting the wall of the weakened artery to open it. Graft of the same size and shape of the artery is the next step and usually a portion of the healthy artery is used for grafting. For aneurysms involving larger arteries, such as aorta, a graft is prepared by the surgeon using patients own vein. The entire procedure is under general anaesthesia and post-recovery period is around 8-10 days.
Aneurysms can be corrected with surgeries successfully and its re-growth can be prevented.
Like any other surgery, there are always risks involved. Aortic aneurysms are medical emergencies and in case of accidental detection, with no symptoms, the surgery must be planned. For any symptoms such as pain in the abdomen, chest, should never be neglected if the presence of aneurysm is already know. Patients with concomitant diseases should exert caution and take particular care and any strange signs an d symptoms should never be neglected. Blood loss, delayed healing, post-operative pain, discomfort, disturbances in haemodynamic parameters are known complications of the surgery. Carotid and aortic aneurysm repairs carry risks being the major arteries and presence of such aneurysms could be fatal
How is brain aneurysm diagnosed?
The diagnosis of brain aneurysm begins with an acute onset of the headache, associated with a stiff neck and an ill-appearing patient on physical examination. This typically leads the doctor to order a CT (computerized tomography) scan of the head. This will show a haemorrhage in more than 90% of cases of leaking aneurysm.
What is the treatment for brain aneurysm?
Treatment for a symptomatic aneurysm is to repair the blood vessels. Clipping and coiling are two treatment options.
Which procedure is best?
Both open clipping and coiling are effective. The best treatment is based on factors such as aneurysm has ruptured its size, shape and location. Like all medical decisions, the best treatment option shall be by your physician.
Do all aneurysms need immediate treatment?
An aneurysm is an enlarged and weakened section of an artery. All aneurysms do not qualify for immediate surgery. If aneurysm is small and there are no symptoms, patients will be under watchful eyes of the physician. In case of any signs of problems, such as enlargement, symptoms or growth in a size that is life-threatening surgery is recommended.
Who will perform surgical aneurysm repairs?
A vascular surgeon performs this procedure. In some cases, depending upon the type and location of the aneurysm, your surgeon may repair or replace your artery affected by an aneurysm using tissues from your body or synthetic fabric patches or tubes called grafts.
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