Thoracic Descending Aneurysm Repair

Thoracic descending aneurysm repair is a procedure to treat aneurysms in the descending portion of the thoracic aorta, the main artery in the chest. Treating these aneurysms helps prevent rupture and serious complications, keeping patients safe and improving long-term health.

How the Procedure Works

  • The approach depends on the size, location, and overall health of the patient:
    • Open surgery: A chest incision is made to access the aneurysm, and the damaged section of the aorta is replaced with a synthetic graft.
    • Endovascular repair: A stent graft is inserted through a small incision, usually in the groin, to reinforce the artery from the inside.
  • Both methods aim to restore safe blood flow and strengthen the aortic wall.

Why Thoracic Aneurysm Repair May Be Recommended

  • Large or growing aneurysms in the thoracic aorta.
  • Risk of rupture or serious complications if left untreated.
  • Symptoms such as chest pain, back pain, or pressure caused by the aneurysm.
  • Patients who are candidates for either open or minimally invasive repair based on anatomy and health.

Benefits of Thoracic Aneurysm Repair

  • Reduces the risk of rupture and life-threatening complications.
  • Restores healthy blood flow through the chest aorta.
  • Can be performed using minimally invasive techniques when appropriate, allowing for quicker recovery.
  • Provides a long-term solution for patients with thoracic aortic aneurysms.

What to Expect During Recovery

  • Open surgery typically requires a longer hospital stay and gradual recovery, often several days to a week.
  • Endovascular repair is minimally invasive, usually allowing patients to go home sooner and return to normal activities more quickly.
  • Mild pain, soreness, or fatigue is common after either procedure but usually improves with time.
  • Follow-up imaging and appointments are important to monitor the repair and overall heart health.

Safety & Recovery Tips

  • Follow all instructions from your surgical team
  • Keep incision sites clean and dry to prevent infection.
  • Avoid heavy lifting or strenuous activity until cleared by your doctor.
  • Watch for increased pain, swelling, or unusual symptoms, and contact your doctor if they occur.
  • Maintain a heart-healthy lifestyle, including proper diet, exercise, and medications, to support long-term vascular health.

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We specialize in spine, pain management, vascular, and hand disorders, offering both surgical and non-surgical treatments.

In most cases, a referral is not required. However, some insurance plans may require one. Please check with your insurance provider or call our office to confirm.

Please bring:

  • A valid photo ID
  • Insurance card
  • Any imaging studies (MRI, X-rays, CT scans)
  • Previous medical records
  • A list of current medications

We are in-network with Horizon Blue Cross Blue Shield and Medicare.

If you have out-of-network benefits, we accept all commercial insurance plans and will work with you to maximize your coverage.

If surgery is recommended, our team will review all options, risks, benefits, and recovery expectations with you to help you make an informed decision.

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