Aorta is the name of the main artery that comes from the heart and goes to the legs. The most common disease is aneurysm (bubbling) formation, which occurs most frequently in the abdominal region (abdominal aortic aneurysm). The biggest danger of an aneurysm is that its weakened wall may rupture, which threatens the person's life within minutes. Although aneurysm formation is directly related to genetic predisposition, components that cause arteriosclerosis such as uncontrolled hypertension, smoking and high cholesterol also play a role. Early diagnosis and correct treatment play a very important role in this asymptomatic disease.
Treatment of Aortic Aneurysm varies depending on the location of the aneurysm. While open surgery is performed in the parts close to the heart, angiographic (Endovascular) treatments are used today, especially in the abdominal and thoracic parts.
In the method called open surgery, the weakened part of the aorta is removed using classical surgical techniques and an artificial vessel of appropriate size is placed in its place. These implanted artificial vessels do not have a lifespan and it is not possible for an aneurysm to develop again in that area. In this method, which is a major surgery, patients are discharged in 5-7 days.
In the closed method called endovascular, angiographic techniques are used without opening the patient's chest or abdomen, and artificial vessels sent from the groin are placed in the appropriate position. In this way, the risk of rupture of the aneurysm sac of the aorta, which is excluded from circulation, is eliminated, making it unable to threaten the lives of patients. After this procedure, patients are discharged within 3-4 days.
The choice of which of these methods will be used is directly related to the location and location of the aneurysm as well as the experience of the performing surgeon.
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