"My father’s difficult lung surgery was a success."
in L.A. and Hollywood Area
Dr. Alexander Marmureanu performs over 200 thoracic aortic surgeries annually with great rates of success.
Prior to recommending thoracic aortic surgery, your physician will order some of the following tests and examination procedures in order to properly evaluate your condition and suggest the most appropriate treatment approach, as well as assess your overall health:
The aim of this surgical procedure is to repair the damaged portion of the aorta. Depending on your condition, anatomy and overall health, you will qualify either for open surgery or for endovascular repair surgery.
After you receive general anesthesia, an incision will be made in the left side of your chest bone (sternum) in order to gain access to your aorta. Cardiac arrest might be induced prior to the proper repair and a heart-lung machine will take over the activity of your organs. However, this is not always necessary and will depend on the nature of your condition. If, for instance, a severe aortic aneurysm needs to be repaired, blood flow through the artery must be temporarily stopped in order to allow us to change the damaged section of your aorta with an artificial implant (graft). Following the repair of the problematic portion, the incision will be closed using several sutures (stitches) and a sterile dressing will be placed over you wound to prevent infection.
While this is a minimally invasive procedure, which involves a shorter recovery period and a significantly reduced risk of complications, endovascular repair surgery is not always the most suitable treatment option for patients suffering from aortic conditions. They might be anatomically incompatible with what the intervention entails or their condition might be too complex or severe to be cured using this approach.
Endovascular repair surgery is performed under local or general anesthesia and is typically recommended for aneurysms. A puncture will be made in your leg (in the groin region), through which a catheter (a thin, flexible tube) equipped with a camera and other medical instruments is introduced. While the catheter is being directed towards your aorta, it will be filled with a special dye so that we will be able to observe its track through your blood vessels on the screen. The damaged portion of the artery will be carefully evaluated with the aid of the tube and we will subsequently choose the most suitable sleeve to be placed inside your aorta. This medical device will prevent the aneurysm to expand further and will also take the pressure off the aorta’s walls. After the sleeve is properly placed, its correct position will be ensured by injecting dye through the catheter one more time. Finally, your puncture will be closed with a plug.
Thoracic aortic surgery can efficiently resolve numerous aortic conditions and diseases. The most common affections for which this treatment procedure is employed are:
Following open thoracic aortic surgery, you will be moved to the intensive care unit, where you will be constantly monitored by medical professionals for one or two days. You will generally be discharged from the hospital within a week. While you are hospitalized, you will be intubated for the first few days to promote a safe and effective recovery. Thus, you will notice two or more of these tubes attached to your body:
You will also be given pain relieving medicine to improve your pain and discomfort, antibiotics to prevent infection, as well as anticoagulants while you are hospitalized. Complete recovery is achieved in approximately two months, during which you will need to pay special attention to a series of aspects in order to speed up the recovery process and avoid postoperative complications. Consequently, your physician will suggest the following: