Abdominal aortic aneurysm repair - open - Overview
Alternative Names
AAA - open; Repair - aortic aneurysm - open
Definition of Abdominal aortic aneurysm repair - open:
Open abdominal aortic aneurysm repair is surgery to fix a widened part (or aneurysm) in your aorta, the large artery that carries blood to your belly (abdomen), pelvis, and legs.
An aortic aneurysm is when part of this artery becomes too large or balloons outward.
Your surgeon opens up your belly and replaces the aortic aneurysm with a fabric material.
Description:
The surgery will take place in an operating room. You will be given general anesthesia (asleep and pain free).
- In one approach, you will be lying on your back. The surgeon will make an incision (cut) in the middle of your belly, from just below the breastbone to below the navel. Sometimes the cut goes across the belly.
- In another approach, you will be lying on your right side. The surgeon will make a 5- to 6-inch cut from to the left side of your belly, ending a little below your belly button.
- After finding your aorta, your surgeon will place two clamps on it, one below the aneurysm and one above it.
- The surgeon will cut the aneurysm open. The surgeon will attach a graft, a long tube of a man-made materials (either Dacron or polytetrafluoroethylene), to the sides of the aorta, connecting the parts above the aneurysm and below it. )
- The surgeon will wrap the wall of the aneurysm around the graft. The clamps are removed to allow blood to flow. The surgeon then closes up the incision.
See also: Aortic aneurysm repair - endovascular
- Reviewed last on: 3/5/2009
- Robert A. Cowles, MD, Assistant Professor of Surgery, Columbia University College of Physicians and Surgeons, New York, NY. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
References
Gloviczki P, Ricotta JJ II. Aneurysmal vascular disease. In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2008:chap 65.
Greenhalgh RM, Powell JT. Endovascular repair of abdominal aortic aneurysm. N Engl J Med. 2008 Jan 31;358(5):494-501.
Lederle FA, Kane RL, MacDonald R, Wilt TJ. Systematic review: repair of unruptured abdominal aortic aneurysm. Ann Intern Med. 2007 May 15;146(10):735-41.