Aortic Aneurysm

by | Jan 11, 2023

Dr. Manish Taneja, our healthcare professional and vascular specialist knows the seriousness and potential risks associated with aortic aneurysms. The Supreme Vascular and Interventional Clinic team develops a comprehensive care plan that prioritizes your safety and well-being towards a healthier, stronger heart.

Healthy family in living room

What is an Aortic Aneurysm (AA)?

The aorta is the main blood vessel that carries blood from the heart to the rest of the body. It extends from the chest to the abdomen, where it branches into the iliac arteries. The iliac arteries carry blood to lower parts of the body and to the legs. Sometimes, because of aging or other medical conditions such as high blood pressure, a section of the aorta may weaken and begin to bulge like a balloon.

This ballooning can enlarge over time as the walls of the aorta become thinner and stretch. This ballooning of the aorta is called an aortic aneurysm. Read more about our introduction and overview of peripheral arterial disease overview and aortic aneurysm

Aneurysm can affect any part of the aorta from its origin up to the iliac arteries.

What are the Types of Aortic Aneurysm?

There are 4 types of aortic aneurysms that we see in practice commonly

1. Abdominal aortic aneurysms
2. Thoracic aortic aneurysms
3. Thoraco-abdominal aortic aneurysms
4. Aortic dissections/ Dissecting aortic aneurysms

Are These Serious Conditions?

In its early stages, when an AA is small, it does not pose an immediate health risk. In later stages, if the AA continues to grow, the walls of the aorta or iliac arteries can become thin and lose their ability to stretch. The weakened sections of wall may become unable to support the force of blood flow. Such an aneurysm can burst, causing serious internal bleeding and death. Aneurysm requires regular monitoring and follow-up using ultrasound or CT scan.

What are Some of the Symptoms of an AA?

Unfortunately, in most cases patients have no symptoms of an AA. For people who do have symptoms, the most common one is pain. The pain can be in the abdomen, back or chest. It could be anything from a mild pain to a severe pain or tenderness in the mid to upper abdomen or lower back. Some patients feel the aneurysm as a pulsating or throbbing mass in their abdomen.
AA is often discovered during an examination being done for other medical reasons. Most often, asymptomatic aneurysms are found incidentally during CT scan done for some other reason

How Do We Treat AA?

When an aneurysm is small, periodic check-up with US or CT scan is required for monitoring. Once it becomes large in size, or is rapidly growing, it is at high risk of bursting needing treatment.

There are two types of treatment for AA:
• Open surgical repair
• Endovascular or minimally invasive repair using special covered stents called stent grafts

Stent grafts are much less invasive and safer treatment option. The procedure involves introducing the stent graft through a 1 cm incision in the groin without opening the abdomen.

What are the Advances We Offer in Our Practice?

• The stent grafts are introduced through small incisions in the groin with assistance of closure devices. This implies majority of patients walk home within 1-2 days of the procedure.
• Access and expertise with most different types of stent grafts including small profile devices.
• Simple straight forward aneurysms are treated using conscious sedation with no general anaesthesia required.
• Fenestrated/ branched custom made aortic stent grafts: Quite a few aneurysms are not suitable for standard stent grafts manufactured by different companies.

There are special custom made stent grafts that can be designed and made for patients based on their aneurysm anatomy. This includes aneurysms affecting aortic arch in the thorax or within the abdominal aorta. This implies that almost all patients with aortic aneurysm affecting any part of the aorta from the aortic arch and below can be treated using minimally invasive endovascular techniques without resorting to open surgery. Even extremely complex aneurysms are amenable to treatment using this technology.

We offer comprehensive diagnosis and treatment for peripheral arterial disease as well.  

Peripheral Arterial Disease (PAD) is usually part of a generalized disease process affecting blood vessels in the entire body . If you have PAD, there is high likelihood that you may have disease in blood vessels supplying heart and brain. Patients with PAD are also at significant potential risk of heart attack and stroke.

Aortic Aneurysm: Types, Symptoms, and Treatments

Watch our video guide from our “Aortic Aneurysm: Types, Symptoms, and Treatments” blog post to understand the different types, causes, symptoms,, diagnosis, prevention, and treatment options.

Other Health Conditions

Being one of the few dual trained and certified neurointerventional and peripheral vascular interventionists in practice in Singapore, Dr. Manish Taneja has a special interest in treating brain aneurysms, stroke, and vascular malformations using latest advanced techniques.

The Supreme Vascular and Interventional Clinic is your “go-to” facility for various conditions and treatments. To arrange an appointment with Dr. Manish Taneja, our vascular specialist, contact us. You can also call us at (+65) 6904 8084 for a consultation.