AAA repair involves either open surgery or an endovascular procedure. The approach taken depends on factors such as the patient’s overall health and the aneurysm’s location and size. Information about what AAA is, who qualifies for surgery, and the changes needed following surgery are below.

What is an abdominal aortic aneurysm?

An abdominal aortic aneurysm (AAA) is a bulge in the wall of the abdominal aorta, the major blood vessel that supplies blood to the lower body. Over time, the wall of the aorta weakens, causing the section to enlarge. If untreated, the aneurysm can grow and burst, leading to severe complications.

Who needs AAA repair?

AAA repair surgery is typically performed to repair an abdominal aortic aneurysm that poses a risk of rupture. Surgeons evaluate the size, growth rate, and symptoms of the aneurysm to determine if surgery is recommended. Individuals experiencing symptoms such as back pain, abdominal pain, or a pulsating sensation near the belly button may be candidates for surgery.

What happens during AAA repair?

There are two approaches that can be taken with AAA repair. Open surgery involves making a large incision in the abdomen to directly access and repair the aneurysm, typically with a synthetic graft. Endovascular aneurysm repair (EVAR) is a less invasive procedure where surgeons insert a stent-graft through small incisions to reinforce the aortic wall. 

What happens after AAA repair?

Recovery Phase

After surgery, patients spend time in the hospital for monitoring. Compared to EVAR, open surgery typically requires a longer hospital stay. The initial recovery period focuses on rest and gradual mobility to ensure proper healing and prevent complications.

Activity Modifications and Follow-Up Care

Post-surgery, activity levels are adjusted to aid recovery. Light activities are introduced first, gradually increasing under healthcare guidance, while heavy lifting and strenuous tasks are avoided early on. Physical activity, when resumed at the right stage, improves overall health and supports recovery. Regular follow-up appointments are essential for monitoring recovery progress and evaluating the success of the repair. Imaging tests, such as ultrasounds or CT scans, may be performed to assess the aortic area.

Diet, Medications, and Warning Signs

A balanced diet rich in lean proteins, fruits, vegetables, and whole grains supports healing and overall wellness. Reducing sodium intake and moderating caffeine or alcohol consumption is often recommended. Medications to manage blood pressure, cholesterol, or related conditions are vital for vascular health, and adherence to prescribed treatments is critical. Patients are also educated on recognizing warning signs that require immediate attention, such as fever, persistent pain, swelling, surgical site changes, or breathing difficulties. Understanding these signs equips patients and caregivers to act promptly if needed.

Consult a Vascular Surgeon today

AAA repair surgery involves adjustments in lifestyle to promote recovery and long-term health. Post-surgery patients, caregivers, and healthcare professionals play a collaborative role in managing these changes. Consulting a vascular surgeon provides you with access to guidance and support tailored to individual recovery needs. Reach out to a healthcare provider to discuss questions or concerns and take the next step toward recovery.

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