Aortic aneurysm (true aneurysm) treatment, surgery and treatment of stent graph

Health – Medical & Surgical | | 3 views

Summary of remedy of large aneurysm

1. Internal medicine remedy

What does not make the blood pressure high is the powerful method of preventing the enlargement of the lump

While the lump is small, first it starts from control and prohibition of smoking of the blood pressure.It is important to receive the medical examination of the medical specialist, to continue the appropriate step-down medicine and to ingest whether the doctor of the catching attaching.Furthermore, stress and the constipation are avoided, the meal and the motion whose salinity is little the heart per seat te.Concerning salinity the origin of the guidance of the teacher of charge medicine, what you teach to the dietician is useful, probably will be.It is the case that it probably will assure the decrease salt in the menu which the patient likes.

With these remedys as for making the aneurysm small because it is not possible, it is not basis remedy.You hold down the fact that the lump becomes large as much as possible, you designate that it can delay as prime object.

Case there is a pain and a strange feeling in the region which is the large aneurysm, hurrying, it receives the medical specialist and it is necessary diagnosis.When painfully it is intense, because there is a possibility of explosion, at once please call the ambulance.

2. Surgical remedy
* The standard where surgical remedy becomes adaptation

The aorta when it exceeds a certain size, becomes suddenly easy to burst

When diameter of the lump, in the chest large aneurysm it exceeds 45~50mm in 55~60mm and the abdomen large aneurysm, it is thought operation adaptation.

surgical adaptation means that there is a benefit to patients and better than not surgery is surgery. means which are recommended for surgery that is.

patients with connective tissue disease such as marfan syndrome can undergo surgery on the aneurysm is small it means that a little earlier than is recommended for safety. aortic valve is also true of the extension of the aortic root and ascending aorta towards the bicuspid valve.

also, more saccular aneurysm is a risk of rupture is higher than the fusiform aneurysm, can say that there is early surgery. i called once and aortic aneurysm ruptures, because there is a risk of life.

aortic aneurysm surgery
when surgery is, like in order to reach a part of the aneurysm that depending on the site of aortic aneurysmhow do incision (median sternotomy, left thoracotomy, laparotomy, such as) there are. and replace it with artificial blood vessel made of synthetic fibers, such as aneurysm.

the case of thoracic aortic aneurysm is, while extracorporeal circulation by cardiopulmonary bypass, polyester fiber parts of the aneurysm (dacron) and replace it with artificial blood vessel made of, etc.. the case of abdominal aortic aneurysm, extracorporeal circulation does not require. aortic aneurysm wall without resection, it is used to cover the artificial blood vessel later.

in the next page, abdominal aortic aneurysm, will explain the law to another site, such as thoracic aorta surgery.

abdominal aortic aneurysm surgery

skin incision is often used recently in surgery of abdominal aortic aneurysm

you can aneurysm near the height of the navel of the stomach usually. once the team was accustomed90the surgery is fairly safe also who is elderly and other diseases around the age of. the vertical incision in the skin in the middle of the stomach. recently is the length1cmto surgery in the incision as small as has been increased.

side of the head immediately from the aorta aneurysm, the artificial blood vessel replacement in the femoral artery to the left and right iliac artery or aorta or the left and right side of the foot immediately aneurysm. 2~3time is ending in surgery.

this means that surgical outcomes during elective surgery to rupture

diagram was replaced with an artificial blood vessel abdominal aortic aneurysm. in the stent graft from the inside will do the same thing.

if you are under preparation with a margin sufficient to de-operative mortality rate1%is good and less than, decrease in blood pressure to rupture once, shock, with surgery, such as from the state of the systemic organ failure due to a higher mortality rate unto, to surgery before rupture is important.
in recent years that the stent graft also, abdominal aortic aneurysm carries up to put in the artificial blood vessel catheter folded, treatment to cure the aneurysm from the inside spread there has been progress. it is easy to cure in the sense that patients do not have to cut too much skin, of long-term results at the moment it is still unknown more than a couple of years, positioned as a surgery so far has been limited mainly to be dangerous, such as.

surgical results of abdominal aortic aneurysms from a long period of time is certain that the effect is generally much less favorable, and also to use the correct stent-graft patients is unknown how long-term results still can not say it is the general opinion. such as surgery or re-elderly patients and poor lung function at the moment but also, in patients with high risk of conventional surgery does have a significance, has led to breakthroughs in the future as a powerful treatment.

thoracic aortic aneurysm surgery

midline skin incision when the approach is. aortic arch from the ascending aorta, done in this incision up to the distal aortic arch surgery

how the approach is different depending on the site. aortic aneurysm aneurysm of ascending aorta and arch, many of the distal arch aortic aneurysm is in the middle of the breast skin incision, the surgery to stop the heart with cardiopulmonary bypass.

send blood to the brain because the blood vessels emerge from the aortic arch, or protect the brain by lowering the body temperature, will try to avoid the complications of the brain, such as protecting the brain to send blood to the brain separately. these methods have evolved, this20surgical outcome was significantly improved in the years.

skin incision is used during surgery of the descending aorta and aortic arch distal part of the

on the other hand, surgery of aneurysm of the descending aorta and aortic aneurysm part of the distal arch of the left means left thoracotomy2can be done to open the gap of ribs. while blocking the blood flow near the aneurysm, protect the lower body to ensure that feed blood to the lower body is common in heart-lung machine. heart is very likely to be moved left, you may also be equipped with artificial blood vessels also stopped by lowering the body temperature in the heart during cardiopulmonary bypass.

in the surgery of thoracic aortic aneurysm complications of these can occur following.

  • brain disorders such as cerebral infarction
  • paralysis of the lower body (paraplegia) disorders such as spinal cord

although these complications was reduced by advances in a variety of preventive measures, remains as a challenge to some extent still is a risk of. also

  • heart, kidney, lung, intestine, failure of various organs such as liver

care must be taken may be.

after an artificial blood vessel replacement in the ascending aorta and aortic arch, shema is cured in the stent graft to the descending aorta. in such major surgery to prevent the infection and bleeding more than usual it is important to

complications should be borne in mind at all times of thoracic aortic aneurysm surgery are infection and bleeding. aorta and its branches is most likely to bleed for a high pressure. because it requires a relatively long period of cardiopulmonary bypass surgery and also, may be done in the infection fell resistance. in the surgery of aortic aneurysm is to use artificial blood vessels with no resistance to germs, to infection is required more attention.

therefore, abdominal aortic aneurysm surgery of thoracic aortic aneurysm and chest is it to ask the experienced surgeon is safe. results of elective surgery mortality rate is the number of facilities are at the leading%has become considerably less safe.

recent years, aortic aneurysm stent graft that is used in distal arch and descending aortic aneurysm has increased. because it is a large skin incision and eliminates the need for extracorporeal circulation, has been attracting attention as a patient-friendly treatment. future development will be expected to. this stent-graft is being applied to aortic arch aneurysm, put it in advance from the bypass to branches of the aortic arch, if the crush in the stent graft as aortic arch aneurysm, can be treated with surgery than ever before small. long-term results is now, this treatment is expected to.

abdominal aortic aneurysm surgery of breast

skin incision is the time of breast surgery abdominal aortic aneurysm

located in the aortic position was the most secluded, for longer and treat aortic, will require a large skin incision. leading to abdominal incision from the left chest wall is used.

you to protect the organ of that part in the extracorporeal circulation of blood flowing in arteries distant from the aneurysm. and replace it with an artificial blood vessel aneurysm while doing so. meanwhile, intercostal artery, celiac artery, superior mesenteric artery, respectively, while protecting the internal organs of perfused blood vessels, such as the importance of left and right renal artery, the reconstruction of the aorta.

the most important thing in the chest during surgery of abdominal aortic aneurysm is spinal cord protection. you may no longer work the lower body and the spinal cord paraplegia when do. in order to avoid it, protection of the spinal cord, such as by using a perfusion of the arteries send blood to the spinal cord and possible cerebrospinal fluid drainage and will be held.

stent graft is becoming to be used also to thoracoabdominal aortic aneurysm. this is also long-term results is unknown, small wound, future is expected due to low spinal cord paralysis also. how to crush the abdominal aortic aneurysm stent graft from the chest in place in advance to bypass surgery, particularly abdominal blood vessels (deburanchingu) i think is useful and high safety.

by stent-graft surgery

one case of stent-graft is attached between the descending aorta from the aortic arch distal

stent graft is a relatively new treatment spread use in recent years. tube called a catheter vascular prosthesis folded(kuda)we have to put up aneurysm, so it is with a lining to heal by expanding aneurysm there. there is no need to increase the skin off like a normal aortic surgery, burden to the patient’s body will be much less is required as well as from the extracorporeal circulation.

must be good blood vessel blood vessel around the aneurysm stent-graft to support this but. this method will be difficult to use and there is a branch of the blood vessels, such as important to the location of the support that. also, flexion of the aorta, or if significant meandering, treatment will be difficult if you want to insert the stent-graft blood vessels in the foot has been closure. or the position of the artificial blood vessel, blood that may leak or chink in the wall and aortic vascular prosthesis, in some cases, such as recurrence or aneurysm is small or not if, there is a problem in terms of certainty. further, is also unknown long-term performance data of more than a few years yet it has only.

for that stent-graft60to young people under the age of relatively is also advantageous that is not necessarily, and systemic status of the patient’s type of aneurysm that, current situation is that it is choosing on a case-by-case basis and the way that seems best suited to their patients and consider the overall experience in the hospital or its.

is an example of a hybrid treatment aimed at secure treatment in both the abdominal vascular bypass surgery and stent-graft

this stent-graft in abdominal aortic aneurysm and breasts, by the patient’s condition may well use. for example, renal artery and celiac artery blood vessel in the abdomen important, once you have bypass surgery in advance and superior mesenteric artery(surgery is safe in the relatively smaller waves of abdominal aortic aneurysm this is what you need general anesthesia), to the body burden will be reduced considerably after the stent graft once you have lined the entire chest and abdominal aorta zudon.

this method (this is called deburanchingu in the sense that processing and clean place to resolve in advance the branch that is a branch) there are also in situations such as chronic dissociation is difficult to use, will develop further in the future. expected to require less likely spinal cord paralysis has also come out.

also arch aortic aneurysm as well as, for patients in poor condition can not be like all aortic arch replacement surgery, in advance of the aortic arch3make a reconstruction in the branches of this artificial blood vessels, how they lined the entire stent graft in the aortic arch (deburanchingu) there is evolving. age will be considered in the order made the most secure and reliable way to account for such a comprehensive form of aortic aneurysm and position the patient’s age and physical strength and future.

also, this stent-graft treatment is required a special technique is different from the previous surgery, trained specialists that, can not be performed only in hospitals accredited by.

reference: aortic insufficiency due to aortic root dilatation and it, for aortic aneurysm line, please refer to the following page or on the valvular disease associated with bicuspid aortic valve or

reference site: department of cardiovascular surgery informationWEB : surgery and treatment of aortic disease, especially, information such as the surgery of aortic root dilatation and valvular disease associated with aortic disease can be obtained


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