Abdominal Aortic Aneurysm Surgery

in L.A. and Hollywood Area

Dr. Marmureanu is well-known for performing numerous abdominal aortic aneurysm repairs annually with great rates of success.

Our Approach


How I Perform Abdominal Aortic Aneurysm Surgery

Not all patients diagnosed with an abdominal aortic aneurysm need surgery. Aneurysms with a diameter smaller than 5 centimeters (approximately 2 inches) rarely require treatment but must be regularly monitored, as their dimension may increase over time. Nevertheless, before undergoing surgical intervention for the treatment of an abdominal aortic aneurysm, you will have to go through a series of tests and examination procedures. Thus, we will be able to decide on the most effective approach, which will ensure a satisfactory outcome of your surgery. You will be recommended one or both of the following tests to observe the particularities and exact location of your aneurysm:

  • abdominal ultrasound
  • computed tomographic angiography (CTA)

If you are indeed a suitable candidate for surgery, the treatment approach will be chosen and we will set the date of the intervention. You will also be provided with all the information you need regarding pre-operative preparation.

Open Repair Surgery

During this procedure, an artificial graft will be employed to replace the damaged portion of your aorta. After you receive general anesthesia, an incision will be made across the middle or side of your abdomen. Blood flow through the affected region of the vessel will be temporarily stopped by placing two clamps on it: one above and one below the aneurysm.

The plaque deposits and blood clots are carefully removed from the inside of the aneurysm and the damaged portion of tissue is then replaced with the synthetic graft. Your aorta is subsequently closed and blood flow is restored by removing the clamps. Finally, the main incision is securely closed with multiple stitches and a sterile dressing is placed over it. Open repair surgery for abdominal aortic aneurysms typically takes several hours to be performed.

Endovascular Repair

Endovascular repair is a minimally invasive surgical procedure, which can be successfully used for removing abdominal aortic aneurysms. During this intervention, the repair of the damaged region of the aorta is performed by gaining access directly to the inside of the blood vessel. You will be put under local or general anesthesia, depending on your preference and overall health.

Two small incisions will be made in your groin area and a catheter (a small, flexible tube) will be inserted through each of them to reach the aneurysm. A special dye is injected into the tubes to observe their track through your blood vessels with the aid of X-rays. The aneurysm will then be attended to by placing a stent (an artificial, expandable tube) inside of it. The stent is expanded and subsequently attached to the walls of your aorta so that it will prevent the aneurysm from further enlarging. After the process is completed, your incisions are closed with stitches and sterile dressings are applied over them.

call to Request an appointment

(310) 208-4400

Our Locations


Marina Del Rey Hospital

4650 Lincoln Blvd, Marina Del Rey, CA 90292

310-823-8911
St. Vincent Medical Center

2131 W 3rd St, Los Angeles, CA 90057

213-484-7111
Ronald Reagan UCLA Medical Center

757 Westwood Plaza, Los Angeles, CA 90095

(310) 825-9111
Cedar-Sinai Medical Center

8700 Beverly Blvd. Los Angeles, CA 90048

310-423-3277
Hollywood Presbyterian Medical Center

1300 N Vermont Ave, Los Angeles, CA 90027

213-413-3000
Centinela Freeman Regional Medical Center

555 E Hardy St, Inglewood, CA 90301

310-673-4660
Olympia Medical Center

5900 W Olympic Blvd, Los Angeles, CA 90036

310-657-5900
Providence Saint John's Health Center

2121 Santa Monica Blvd, Santa Monica, CA 90401

310-829-5511

Our Patients


Who Needs Abdominal Aortic Aneurysm Surgery?

Patients in which an abdominal aortic aneurysm larger than 5 centimeters has been detected are typically recommended to undergo surgery, as the risk of it rupturing in the near future is very high. Abdominal aortic aneurysms continue to progressively grow in size over the years. The more enlarged an aneurysm becomes, the more chances of rupturing it has, which is often fatal if not immediately attended to by a surgeon, as the hemorrhage it produces is tremendous. Surgery is thus performed to avoid the rupturing of abdominal aortic aneurysms.

Recovery


What to Expect After Abdominal Aortic Aneurysm Surgery

Irrespective of the surgical approach used to treat your aneurysm, you will be moved to the intensive care unit after the intervention, where you will spend several hours to one day. Your vital signs will be regularly monitored by medical professionals. Subsequently, you will be moved to a recovery facility. The entire duration of your hospital stay will depend on what type of surgery you underwent: for traditional surgery, you will be hospitalized for 4 to 10 days, while endovascular repair entails a shorter hospitalization time of one to three days.

In the hospital, you will be administered pain relieving medicine and antibiotics and will also be intubated. Consequently, you will have some or all of the following tubes attached to your body:

  • a urinary catheter (a thin, flexible tube) which will collect urine until you are able to use the restroom on your own
  • an IV line in one of the veins in your arm through which you will receive fluids and medication
  • one or more drainage tubes inserted in your incision to help eliminate excess fluid from the area of your surgery

Full recovery is achieved in 2 to 3 months for open repair surgery, while the recovery period is significantly shorter for the minimally invasive procedure (approximately one month). Nevertheless, it is important to know that you can speed up your recovery to a great extent by paying attention to the following aspects:

  • Avoid intense workout sessions, weight lifting and sports which require a lot of physical effort during your recovery. However, it is highly recommended to be physically active as you start feeling better by opting for low-intensity activities. You should always discuss with your doctor before engaging in any physical activity.
  • Do not postpone or cancel your follow-up appointments.
  • Change the dressing on your incision regularly to prevent its infection and avoid wetting it until it healed thoroughly.
  • Eat healthy. Include whole grains, fresh fruits and raw vegetables in your diet and avoid foods high in cholesterol, saturated fats, sugar and salt.
  • Take the medication you were prescribed for as long as you are supposed to so that you avoid complications.