An aneurysm represents a dilated area of weakness in the blood vessel wall that results from increased pressure and decreased integrity in the vessel wall. This can be the result of genetics, trauma or a previous dissection. As this pressure builds, the blood vessel wall will start to expand. If this aneurysm is not treated, it could eventually burst causing death. If the aneurysm is growing, if it reaches a certain size, or if itis symptomatic it will mandate repair. One of the common approaches to repairing a thoracic aortic aneurysm is called a thoracic endovascular aortic repair, or TEVAR. This is a complicated surgical procedure that mandates expert surgical skills.
TEVAR has a much shorter recovery time and improved patient tolerance compared to open surgical repair. The repair can be performed under local anesthesia if needed. Typically, patients can go home the following day. An open thoracic aneurysm repair requires a longer ICU stay and a recovery time of several weeks if the patient does not have any complications. A TEVAR starts with obtaining access to the femoral artery. A wire is maneuvered into the aorta past the aneurysm. Location of the aneurysm is confirmed with contrast dye and possibly intravascular ultrasound. Finally, a covered stent will be deployed to essentially bypass the aneurysmal area. A covered stent consists of a metal cage surrounded by a waterproof material such as polytetrafluoroethylene. This will help to prevent the aneurysm from growing larger and potentially bursting. Repeat imaging confirms stent placement and makes sure there is no leakage of blood around the stent which could increase the size of the aneurysm.
Such an advanced surgical procedure combined with a serious medical condition requires advanced training. The quality of patient outcome depends on several different factors including the size and location of the aneurysm, the training and experience of the vascular surgeon performing the procedure, and the other medical conditions surrounding the patient. When a patient selects a vascular surgeon to perform the TEVAR, they should ensure that the physician is exemplary in the field of vascular surgery. Dr. Jenna Kazilis a Manatee County Vascular Surgeon who practices at the Florida Surgical Clinic in Bradenton, FL. Dr. Kazil has a massive amount of experience completing complex TEVAR cases. Patients searching for a world-class vascular surgeon in Bradenton should contact Dr. Kazil at the Florida Surgical Clinic for all surgical and vascular needs.