"My father’s difficult lung surgery was a success."
in L.A. and Hollywood Area
Dr. Marmureanu is well-known for performing numerous abdominal aortic aneurysm repairs annually with great rates of success.
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:
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.
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 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.
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.
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:
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: