Aortic Aneurysm Treatment in India - Medx Health Assistance

Aortic Aneurysm Treatment in India

Aortic diseases usually develop in older people; hence, as the population is ageing, they are becoming more common. They are responsible for a large amount of cardiovascular morbidity and death around the world. Aortic diseases are expected to become more common in India as the population grows older. In the last two decades, diagnostic assessment of aortic disorders has increased, allowing earlier diagnosis.

The aorta may sometimes blow out like a balloon (an aneurysm). Because the aneurysm can leak or burst, causing deadly internal bleeding, this is dangerous. Aneurysm lining fragments may sometimes break off and block the leg arteries. 

 

 

 

 

 

 

 

Symptoms 

It is quite tough to find out the existence of this condition in the initial stages. This is because the symptoms show up only when the aorta becomes larger or when it bursts. Aortic aneurysms often grow slowly and usually have no symptoms. Some develop at a small stage and stay small, although some expand over time. 

Some general symptoms are:

  • Hoarseness
  • Shortness of breath
  • Coughing 
  • Sick feeling, vomiting, dizziness or sweating.
  • Chest or back pain.
  • Deep pain on the side of the abdomen. 
  • Throbbing sensation near the navel.  
  • Trouble in swallowing 
  • Loss of consciousness. 

Aortic aneurysms can grow anywhere along the aorta, which runs from one’s heart via one’s chest and abdomen. If they develop in the chest, they are known as thoracic aortic aneurysms. Aneurysms may occur anywhere in the thoracic aorta, including near the heart, in the aortic arch and the lower part of the thoracic aorta. Thoracic aortic aneurysms are less recognized than aneurysms that form in the lower part of the patient’s aorta (abdominal aortic aneurysms). An aneurysm can also develop in between the upper and lower part of one’s aorta, which is called a thoracoabdominal aneurysm. 

Treatment  

Generally, doctors recommend repairing if the aneurysm is 4.8 to 5.6 centimetres or if it’s growing quickly.

Endovascular Repair-The aneurysm can be repaired by an endovascular surgery, in which a synthetic graft is sent to the aneurysm site with the help of a thin tube (catheter) through an artery in the leg. The graft is fixed at the area with the help of pins and hooks. The grafts avoid rupture of the aorta by giving strength to the weakened section. The patient needs routine imaging scans after endovascular surgery to make sure that the patch isn’t leaking. The recovery time of this surgery is lesser than open abdominal surgery. 

For around 30% of people with aneurysms, endovascular surgery or repair is not an option. In the case of giant growing aneurysms, which measure more than 5.6 cm, there is an urgent need for open abdominal surgery. In this surgery, the damaged section of the aorta is replaced with a graft (synthetic tube). 

The patient will have a general anaesthetic and be completely asleep during the operation. The doctors make a cut in the skin, usually to the navel’s left, from the ribs down to the groin. A new artery is placed, and the cut is stitched up. 

In some cases, the two arteries which run to the patient’s legs have aneurysms as well. 

A new synthetic pipe is shaped like a pair of trousers is then used to make the repair. If more than one artery is blocked, it may be possible to operate on them all simultaneously. It is expected that the new pipes will last at least 20 years. The procedure takes three to four hours. The patient requires several months to recover from the surgery. 

After the procedure 

The patient will probably be taken to the Intensive Therapy Unit (ITU). The patient might be connected to an anaesthetic ventilator for a day or two to help them feel better, which means that there will be a tube down their mouth passing into their windpipe. Few sedatives will be given to the patient to relax them if needed. There might be several other tubes and wires assisting various other functions of the body. 

Few painkillers can be provided to control the pain of the wounds. Until the bowel starts up again, the patient will be given water, salts and sugar solutions through the pipes. The patient will probably need at least 14 days in the hospital until they are well enough to leave.

 

 

 

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