- Nonsurgical treatments like anti-biotics calcium channel blockers and exercise along with monitoring are used for individuals that have a low risk of rupture.
- If an aneurysm is not found until it becomes an emergency, then surgery to repair the ruptured artery is absolutely necessary. If ruptured or there is a high risk of rupturing is considered an emergency.
- If a rupturing aneurysm has been diagnosed, some treatment/management will be implemented to prevent severe/fatal bleeding.
CardiacFor low-risk cases, lifestyle changes and possible medication/s may be recommended to slow the development. Small aneurysms are monitored using ultrasound. This can be every 6 to 12 months depending on the size and growth rate of the artery. Medications for lowering blood pressure and cholesterol could be prescribed. This is to limit the amount of plaque buildup in the aorta and reduce any pressure on the arterial walls. Quitting smoking and removing tobacco altogether whether dip, chew, vape is a significant action an individual can do to minimize the risk of aortic rupture. Other lifestyle changes involve maintaining a healthy diet and regular exercise will help lower blood pressure and cholesterol levels decreasing the chance of rupture.
SurgerySurgical treatment when necessary is to stop a rupture if leaking blood or to prevent a rupture. Surgery requires replacing the damaged portion of the aorta with a stent-graft. This is an artificial artery made from a high-tech mesh/fabric. There are two standard surgical treatments:
Open RepairOpen repair is the most common surgical treatment. It takes the enlarged portion of the aorta removes it and replaces it with a stent-graft. Open surgery repair consists of the following:
- The incision is made in the abdomen at the site of the aneurysm.
- The aorta gets clamped with the blood temporarily blocked from flowing through the damaged portion.
- The damaged part is removed.
- A tube graft is placed where the damaged portion was.
Endovascular Aortic Aneurysm RepairEVAR endovascular aneurysm repair surgery is a minimally invasive procedure. There is no need for a large abdominal incision or removal of the damaged portion of the artery. This procedure does not require blood flow stoppage, which places less stress on the heart. Endovascular surgery involves:
- A fluoroscopy or live X-ray is used. This is so the surgeon can look at the repair, and guide the stent into place.
- 2 small incisions are made in the groin.
- A catheter is inserted into the femoral artery in the groin and guided to the abdominal aorta.
- Through the catheter, the stent is guided to the aneurysm.
- Once it reaches the aneurysm, it is compressed and closed.
- The stent is placed in position, and the wireframe is expanded to fit the artery.
- The stent is sewn/secured into place at both ends.
- Once in place, the blood gets redirected from the enlarged area and flows only through the stent-graft. This takes the pressure off the artery’s walls and allows for size reduction over time, and decreases the risk of rupture.
Follow UpFollow-up monitoring is necessary after any aortic aneurysm surgical procedure. This is to ensure the stent works and the aorta is functioning without a high risk of rupture. Individuals will be advised to maintain a healthier heart and cardiovascular system. A surgeon/doctor will suggest:
- Diet adjustments
- Regular exercise
- Quitting smoking/tobacco intake
- Taking cholesterol and blood pressure medication
- Chiropractic/Physical therapy for any spinal misalignment, herniation, sciatic nerve compression back pain relief.