Are there alternatives to open surgery for an aortic aneurysm?

Brian G. Derubertis, MD
Vascular Surgery
There are alternatives to open surgery for aortic aneurysms for people who are not good candidates for open surgery. Medium and large aortic aneurysms often call for immediate surgical treatment.

Fenestrated endovascular procedures can be used to repair the aorta where it branches off to the kidneys. This minimally invasive surgery offers hope for people for whom open surgery is not an option. The procedure begins by preparing a custom-made endograft with holes called fenestrations. When the stent graft is positioned in the aorta, these openings allow blood to flow to the kidneys and other organs.

Hybrid surgery is beneficial in repairing complex aneurysms and aortic disease in at-risk people who don’t have other options. In this combined approach, the surgeon first restores blood flow to critical blood vessels away from an aneurysm using an open surgical procedure. Then the aortic repair is completed with a minimally invasive technique. Among other advantages, hybrid surgery can be done in stages and avoids opening the chest, both of which reduce risk to the person.

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Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.