Open Abdominal Aortic Aneurysm Repair

Written by Eric Searleman | Published on August 7, 2012
Medically Reviewed by George Krucik, MD

What is an Abdominal Aortic Aneurysm Repair?

An aneurysm is a bulge in the wall of a blood vessel. Aneurysms can form in any artery in your body.

An abdominal aortic aneurysm (AAA) is a bulge that occurs in the main artery supplying blood to your stomach, pelvis, and legs. This type of aneurysm can be extremely dangerous.

Sometimes, an AAA may burst like a balloon and result in life-threatening internal bleeding. Surgery to repair this condition is called an open abdominal aortic aneurysm repair or open AAA repair.

Reasons for an Open Abdominal Aortic Aneurysm Repair

Ideally, an open AAA repair is used to fix an aneurysm before it ruptures. Surgery becomes critical if the bulge bursts and causes internal bleeding.

Although most people make a full recovery from abdominal aortic aneurysm repair, it is a risky procedure. Your doctor may take a watch-and-wait approach before committing to surgery. The risks of sudden rupture have to be balanced with the risks of an operation. Reasons for you and your doctor to consider surgery include:

  • the size of the aneurysm—2 inches is considered large
  • the growth rate—a quarter of an inch within a year is considered fast-growing
  • location of the aneurysm —some aneurysms require more urgent repair
  • your general health
  • your age—surgery may be more dangerous in older adults

The Open Abdominal Aortic Aneurysm Repair Procedure

Before the surgery begins, you will be put to sleep with a general anesthesia. During surgery, the surgeon will position you in one of two ways:

In one approach, you will lie flat on your back. The surgeon will make an incision from below your breastbone to below your navel. The surgeon may need to cut across your belly.

In the second approach, you will be positioned on your right side. The surgeon can then make a six-inch cut from the left side of your stomach to just below your navel.

Once the initial incision has been made, the surgeon will quickly identify the aorta. One clamp will be placed above the aneurysm and another will be placed below it. After blood flow has been stopped, the surgeon will slice open the bulge. The damaged area will be removed and a tube-like graft will be inserted in its place. This tube graft is often made from man-made (synthetic) material.

Once the graft is in place, the surgeon will remove the clamps and stitch up the incision.

Recovery: After an Open Abdominal Aortic Aneurysm Repair

After surgery, you will need to stay in the hospital for an average of six days. Initially, you’ll be in the intensive care unit. While there, your doctor and the hospital staff can monitor your condition closely. You will be given blood-thinning medicines and pain relievers as needed.

As you begin to recover, you’ll be encouraged to slowly resume physical activity. Sitting up in bed and walking around are excellent ways to start rehabilitation. Once you’ve been given permission to go home, it will take up to three months of recuperation before you can resume normal activities.

Was this article helpful? Yes No

Thank you.

Your message has been sent.

We're sorry, an error occurred.

We are unable to collect your feedback at this time. However, your feedback is important to us. Please try again later.

Show Sources

Trending Now

Understanding the Progression of Ankylosing Spondylitis
Understanding the Progression of Ankylosing Spondylitis
One serious potential cause of back pain is ankylosing spondylitis. Get an understanding of what this condition is, how it progresses, and potential complications in this slideshow.
The Best Multiple Sclerosis iPhone and Android Apps of the Year
The Best Multiple Sclerosis iPhone and Android Apps of the Year
These best multiple sclerosis apps provide helpful information and tools to keep track of your symptoms, including medication reminders.
Common Asthma Triggers and How to Avoid Them
Common Asthma Triggers and How to Avoid Them
Learn about some of the most common triggers for asthma, as well as measures you can take to minimize your risk of exposure, symptoms, and flares.
Beyond Back Pain: 5 Warning Signs of Ankylosing Spondylitis
Beyond Back Pain: 5 Warning Signs of Ankylosing Spondylitis
There are a number of potential causes of back pain, but one you might not know about is ankylosing spondylitis (AS). Find out five warning signs of AS in this slideshow.
Famous Athletes with Asthma
Famous Athletes with Asthma
Asthma shouldn’t be a barrier to staying active and fit. Learn about famous athletes who didn’t let asthma stop them from achieving their goals.