Ascending Aortic Aneurysm Repair – Procedure, Costs, and Benefits

Ascending Aortic Aneurysm Repair: A Complete Guide

Introduction

An ascending aortic aneurysm is a fatal pathology in which the cranial part of the aorta is abnormally dilated, so it carries the risk of rupture or dissecting. Surgical repair is the gold standard treatment for the prevention of ad hoc complications and the termination of existence. In this article, we will discuss the steps, advantages, disadvantages and costs associated with treatment along with the best hospitals in India for the treatment.

What is Ascending Aortic Aneurysm Repair?

Ascending aortic aneurysm repair is a surgical procedure performed to treat an abnormal bulging in the ascending section of the aorta. The aortic surgery comprises repairing the diseased portion of the aorta with a synthetic graft or repairing the damaged walls in certain cases. This promotes normalizing of blood flow and avoids morbidly lethal complications.

Why is Ascending Aortic Aneurysm Repair Needed?

This surgery is essential for patients with:

• Aneurysms larger than 5.5 cm in diameter.
• Accelerated aneurysm expansion (greater than 0.5 cm/y).
• Symptoms include chest pain, shortness of breath and hoarseness.
• Risk factors such as genetic conditions (e.g., Marfan syndrome) or connective tissue disorders.

Uncontrolled ascending aortic aneurysms can lead to rupture or aortic dissection, the latter of which is always fatal.

Types of Ascending Aortic Aneurysm Repairs

There are two main surgical approaches for this condition:

• Open-heart Surgery

1. The accepted method enables the chest to be opened and the aneurysm to be fixed or repaired.
2. Requires the use of a heart-lung bypass machine.

• Minimally Invasive Surgery

1. A less invasive option involving smaller incisions.
2. Suitable for select patients, offering quicker recovery times.

Procedure Steps for Ascending Aortic Aneurysm Repair

The surgery typically involves the following steps:

• Preoperative Preparation:

1. Diagnostic tests like CT scans, MRIs, and echocardiograms.
2. Stopping certain medications and fasting before surgery.

• Anesthesia:

1. Due to the use of general anesthesia for the patient’s complete loss of consciousness.

• Surgical Incision:

1. Sternotomy (tomy of the breastbone) is a procedure during cardiac surgery.

1. Limited incisions could be employed in minimally invasive procedures.

• Aneurysm Repair:

1. The atherosclerotic diseased section of the aorta is excised and replaced by a prosthetic graft.

• Closure and Recovery: 

1. The wound is sutured and the patient is transferred to the ICU for monitoring.

Benefits of Ascending Aortic Aneurysm Repair

1. Prevents life-threatening complications like rupture or dissection.
2. Restores normal blood flow in the aorta.
3. Improves quality of life and life expectancy.
4. Reduces symptoms like chest pain and breathing difficulty.

Risks and Complications

Although the procedure is life-saving, there are some risks, including:

1. Bleeding or infection.
2. Blood clots or stroke.
3. Arrhythmias (irregular heartbeats).
4. Complications related to anesthesia.
5. Graft failure or leakage.

However, this risk has been significantly mitigated by recent advances in surgical techniques.

Treatment cost in India vs. the USA.

The advantage of traveling to India for treatment lies in the price.

• In India: The cost of APA varies from ₹5,00,000 to ₹12,00,000 (6,000 – $14,000).
• In the USA: The same can be done for $70,000–$1,00,000 depending on the materials other than postoperative care costs.

India provides the best healthcare services, expert surgeons and cheap rates, so it is an appealing place to medical tourists.

Best Hospitals for Ascending Aortic Aneurysm Repair in India.

Below are some of the best hospitals in India for cardiac surgery.

AIIMS (All India Institute of Medical Sciences), New Delhi: Known for expert surgeons and advanced technology.

• Fortis Escorts Heart Institute, Delhi: A pioneer in cardiac surgeries.
• Apollo Hospitals, Chennai: Internationally accredited with state-of-the-art infrastructure.
• Narayana Health City, Bangalore: Specializes in minimally invasive cardiac procedures.
• Medanta—The Medicity, Gurgaon: Offers comprehensive cardiac care. 

For More Information, Contact Us

For more information about Ascending Aortic Aneurysm Repair or to book an appointment, contact us at:

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Email: info@worldhealthupdate.com

Summary

Ascending aortic aneurysm repair is an important operation that might save lives and enhance quality of life. If patients know the procedure, its advantages, and its costs, they should make an informed decision. Given the high-quality medical facilities low cost and excellent feasibility, India has become an attractive option for performing this life-saving procedure.