Ascending/Descending/Abdominal Aorta Aneurysm Repair

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Procedure Description

An aortic aneurysm is a serious medical condition characterized by an abnormal bulging or dilation in the wall of the aorta—the largest artery in the body responsible for transporting oxygen-rich blood from the heart to the rest of the body. Depending on its location, an aneurysm can occur in the ascending aorta (the upward part of the aorta from the heart), the descending aorta (the downward part through the chest), or the abdominal aorta (the portion passing through the abdomen).

Ascending Aorta Aneurysm Repair involves surgical intervention to prevent rupture or dissection, which can be life-threatening. The procedure typically requires open-heart surgery, where the damaged section of the aorta is replaced with a synthetic graft. This operation may also involve repairing or replacing the aortic valve if it's affected.

Descending Aorta Aneurysm Repair can be approached through traditional open surgery or minimally invasive techniques. In open surgery, a large incision is made to access the aorta and replace the weakened section with a graft. Alternatively, Thoracic Endovascular Aneurysm Repair (TEVAR) is a less invasive method where a stent-graft is inserted through a small incision in the groin and guided to the aneurysm site to reinforce the aortic wall.

Abdominal Aorta Aneurysm (AAA) Repair also offers two main surgical options: open surgery and Endovascular Aneurysm Repair (EVAR). Open surgery involves a large abdominal incision to replace the aneurysmal segment with a graft. EVAR, on the other hand, uses catheters inserted through small groin incisions to place a stent-graft inside the aneurysm, reducing recovery time and surgical risks.

Procedure Duration

The duration of aortic aneurysm repair procedures varies based on the aneurysm's location, size, the patient's overall health, and the surgical method employed.

Ascending Aorta Aneurysm Repair via open-heart surgery typically takes between 4 to 6 hours. The complexity arises due to the proximity to the heart and potential involvement of the aortic valve, requiring meticulous surgical precision. Post-surgery, patients often spend several days in the intensive care unit (ICU) for close monitoring.

For Descending Aorta Aneurysm Repair, traditional open surgery may last around 3 to 5 hours, depending on the aneurysm's complexity. The minimally invasive TEVAR procedure usually takes about 2 to 3 hours. TEVAR reduces operative time because it avoids extensive incisions and the need to manipulate the heart or lungs directly.

Abdominal Aorta Aneurysm Repair through open surgery generally requires 2 to 4 hours. The less invasive EVAR procedure can be completed in approximately 1 to 2 hours. The reduced time is due to the elimination of large incisions and direct aortic exposure.

Recovery times also differ significantly. Open surgeries often necessitate hospital stays of 7 to 10 days, with full recovery spanning several weeks to months. Minimally invasive procedures like TEVAR and EVAR typically result in shorter hospital stays of 2 to 3 days and quicker return to daily activities, often within a few weeks.

Benefits

  • Reduced Risk of Aortic Rupture: Timely repair significantly lowers the chance of aneurysm rupture, which can be fatal.
  • Minimally Invasive Options: TEVAR and EVAR offer less invasive alternatives with shorter recovery times and fewer complications.
  • Improved Survival Rates: Advances in surgical techniques have enhanced long-term survival and quality of life for patients.
  • Symptom Relief: Repair can alleviate symptoms like chest or back pain associated with large aneurysms.
  • Customization of Treatment: Surgical approaches can be tailored to the patient's specific condition and anatomy.

Potential Destinations

  • Germany: Known for its advanced medical technology and highly skilled cardiovascular surgeons, Germany offers top-notch facilities for aortic aneurysm repairs. Its hospitals often have cutting-edge equipment and adhere to stringent quality standards, making it a prime destination for medical tourists seeking high-quality care.
  • South Korea: With a strong emphasis on medical innovation and patient care, South Korea provides excellent services for both open and minimally invasive aortic surgeries. Hospitals here are equipped with the latest technology, and the medical staff is renowned for their expertise and professionalism.
  • India: Offering cost-effective medical treatments without compromising quality, India has become a hub for cardiovascular surgeries. Hospitals accredited by international organizations provide comprehensive care, and the medical staff is experienced in handling complex aortic aneurysm cases.
  • Thailand: Combining medical excellence with renowned hospitality, Thailand's healthcare facilities offer advanced procedures like TEVAR and EVAR. The country's medical centers are known for their patient-centered approach and state-of-the-art technology.
  • Spain: Spain boasts a robust healthcare system with internationally recognized cardiac centers. Its strategic location and high medical standards make it an attractive option for European patients seeking reliable aortic aneurysm repair services.

Risks & Considerations

  • Surgical Complications: Risks include bleeding, infection, and adverse reactions to anesthesia. These are inherent in any surgical procedure but can be minimized with proper care.
  • Endoleaks: In endovascular repairs, there's a possibility of blood leaking around the stent-graft, which may require additional interventions or surgeries.
  • Organ Damage: Potential for kidney damage or spinal cord ischemia due to disrupted blood flow during surgery, leading to long-term complications.
  • Graft Failure: Over time, the synthetic graft may fail or become infected, necessitating further surgical intervention.
  • Travel Considerations: Medical tourists must consider the risks associated with long-distance travel post-surgery, such as deep vein thrombosis, and ensure they have adequate time for recovery before returning home.

How to Choose the Right Doctor and Hospital

Selecting the appropriate medical facility and surgeon is crucial for a successful aortic aneurysm repair. Begin by researching hospitals that specialize in cardiovascular surgeries and have international accreditations or certifications. These institutions are more likely to adhere to global standards of care and patient safety.

When evaluating doctors, consider their qualifications, experience, and success rates with aortic aneurysm repairs. Surgeons who frequently perform these procedures are more likely to have refined their skills and improved patient outcomes. Don't hesitate to request credentials, patient testimonials, or success statistics.

To receive a free quote for this procedure please click on the link: https://www.medicaltourism.com/get-a-quote

Patients are advised to seek hospitals that are accredited by Global Healthcare and only work with medical tourism facilitators who are certified by Global Healthcare Accreditation or who have undergone certification from the Certified Medical Travel Professionals (CMTP). This ensures that the highest standards in the industry are met. GHA accredits the top hospitals in the world. These are the best hospitals in the world for quality and providing the best patient experience. Click the link to check out hospitals accredited by the Global Healthcare Accreditation: https://www.globalhealthcareaccreditation.com

Frequently Asked Questions

What actually happens during hyperstimulation of the ovaries?

The patient will take injectable FSH (follicle stimulating hormone) for eight to eleven days, depending on how long the follicles take to mature. This hormone is produced naturally in a woman’s body causing one egg to develop per cycle. Taking the injectable FSH causes several follicles to develop at once, at approximately the same rate. The development is monitored with vaginal ultrasounds and following the patient’s levels of estradiol and progesterone. FSH brand names include Repronex, Follistim, Menopur, Gonal-F and Bravelle. The patient injects herself daily.

What happens during egg retrieval?

When the follicles have developed enough to be harvested, the patient attends an appointment  where she is anesthetized and prepared for the procedure. Next, the doctor uses an ultrasound probe to guide a needle through the vaginal wall and into the follicle of the ovary. The thin needle draws the follicle fluid, which is then examined by an embryologist to find the eggs. The whole process takes about 20 minutes.

What happens to the eggs?

In the next step, the harvested eggs are then fertilized. If the sperm from the potential father, or in some cases, anonymous donor, has normal functionality, the eggs and sperm are placed together in a dish with a nutrient fluid, then incubated overnight to fertilize normally. If the sperm functionality is suboptimal, an embryologist uses Intracytoplasmic Sperm Injection to inject a single sperm into a single egg with an extremely precise glass needle.  Once fertilization is complete, the embryos are assessed and prepared to be transferred to the patient’s uterus.

How are the embryos transferred back to the uterus?

The doctor and the patient will discuss the number of embryos to be transferred. The number of successfully fertilized eggs usually determines the number of eggs to be placed in the uterus. Embryos are transferred to the uterus with transabdominal ultrasound guidance. This process does not require anesthesia, but it can cause minor cervical or uterine discomfort. Following transfer, the patient is advised to take at least one days bed rest and two or three additional days of rest, then 10 to 12 days later, two pregnancy tests are scheduled to confirm success. Once two positive tests are completed, an obstetrical ultrasound is ordered to show the sac, fetal pole, yolk sac and fetal heart rate.

Embryoscope©

Built into this technology there is a microscope with a powerful camera that allows the uninterrupted monitoring of the embryo during its first hours of life. In this way, we can keep a close eye on the embryo, from the moment when the oocyte is inseminated and begins to divide into smaller and smaller cells, until it can be transferred to the uterus.

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