Aortic surgery is performed to treat serious conditions affecting the aorta, the body’s largest artery, which carries oxygen-rich blood from the heart to the rest of the body. These conditions include aneurysms, dissections and other structural abnormalities that can weaken the vessel wall and, if left untreated, place the patient at heightened risk for life-threatening complications.
Tampa General Hospital offers the latest advances in aortic repair surgery, including both open and minimally invasive endovascular techniques, with procedures performed at TGH Brooksville. Patients from Brooksville, Spring Hill, Crystal River and surrounding communities benefit from convenient access to expert consultations, comprehensive evaluations and coordinated follow-up care close to home. Our cardiothoracic surgery services team delivers highly specialized, patient-centered treatment using leading-edge technology and evidence-based approaches.
What Is Aortic Surgery?
Aortic surgery encompasses a range of complex procedures that may be performed to repair damage or disease within the aorta. Types of aortic surgery include:
- Aortic aneurysm repair
- Aortic dissection treatment
- Aortic root replacement
An aortic aneurysm occurs when a portion of the aorta becomes weakened and bulges outward, increasing the risk of rupture. Aortic repair surgery aims to reinforce or replace the affected section of the vessel. In cases of aortic dissection, where a tear develops in the inner layer of the aorta, surgery may be required urgently to prevent life-threatening complications.
There are two primary approaches to aortic aneurysm repair: open and endovascular.
- Open aortic surgery involves replacing the damaged section of the aorta with a synthetic graft through a traditional incision. In some cases, a diseased aortic valve[JP1]L will also be replaced with a mechanical or bioprosthetic valve.
- Endovascular repair, such as endovascular aortic repair (EVAR) and thoracic endovascular repair (TEVAR), is a catheter-based approach that involves placing a stent graft inside the damaged artery, reinforcing the weakened section from within.
When comparing open vs. endovascular aortic repair, factors such as the location of the damage and the patient’s unique anatomy and overall health play a critical role. EVAR vs. open surgery and TEVAR vs. open surgery decisions are made on a case-by-case basis to help ensure the best possible outcome.
When Do You Need Surgery for an Aortic Aneurysm?
Surgery for an aortic aneurysm is generally recommended when the risk of rupture outweighs the risk of intervention. Key factors include the size and growth rate of the aneurysm, as well as the presence of symptoms. In many cases, repair is considered once the aorta reaches a certain diameter or shows rapid expansion. A patient with a thoracic or abdominal aortic aneurysm may also require treatment if they experience pain, signs of leakage or other concerning symptoms.
Aortic dissection often requires urgent surgical intervention, particularly in acute cases involving the ascending aorta. Candidates for aortic surgery are carefully evaluated using advanced imaging and diagnostic tools to determine the safest and most effective treatment approach.
How Serious Is Aortic Surgery?
Aortic surgery is considered a major, highly specialized procedure due to the crucial role of the aorta in the body’s circulatory system. Conditions affecting the aorta, such as aneurysms and dissections, can quickly become dangerous if left untreated.
While the procedure itself is complex, advances in surgical techniques, imaging and perioperative care continue to improve safety and outcomes. Minimally invasive options, such as endovascular repair, have expanded the treatment possibilities for many patients who may not be ideal candidates for traditional open-heart surgery.
With careful planning and an experienced cardiothoracic surgery services team, aortic surgery can be a lifesaving intervention that restores stability to the aorta and significantly reduces the risk of serious complications.
What Is Recovery Like After Aortic Repair?
Recovery after aortic surgery can vary based on the type of procedure performed and individual patient factors. Patients who undergo open aortic surgery typically require a hospital stay of several days to more than a week, followed by a gradual recovery at home.
In contrast, endovascular approaches for aneurysm repair, such as EVAR and TEVAR, are often associated with a shorter hospital stay, less postoperative discomfort and a quicker return to daily activities.
Overall, full recovery from aortic surgery can take several weeks to a few months. During that time, the patient will be closely monitored with follow-up imaging and periodic clinical evaluations to ensure the repair remains stable and is functioning as intended.
What Are the Risks of Aortic Surgery?
As with any major operation, aortic surgery carries certain risks, which can vary depending on the complexity of the condition, the type of procedure performed and the patient’s overall health. Potential complications of aortic aneurysm repair include bleeding, infection, blood clots, kidney complications and disrupted blood flow to vital organs.
Despite these considerations, outcomes for aortic repair have improved significantly in recent years, driven by advances in specialized procedural approaches, diagnostic imaging capabilities and patient management strategies, along with growing clinical expertise.
Take the Next Step
If you have been diagnosed with an aortic aneurysm, another form of aortic disease, or are experiencing an emergent aortic dissection, expert care is essential. The cardiothoracic surgery services team at Tampa General Hospital offers advanced diagnostics and leading-edge treatments, including endovascular repair and complex aortic surgery performed at TGH Brooksville.
Schedule a consultation today to learn more about your treatment options and take an important step toward protecting your long-term health.