如果你有 动脉瘤, your doctor may recommend conventional "open surgical repair." In open surgery, the 动脉瘤 is exposed through a long incision. The arteries above and below the 动脉瘤 are clamped to prevent bleeding while a tube of fabric is sewn to the ends of the 动脉瘤.
Conventional Aneurysm Surgery
准备
手术前, you will meet with your doctor who will take your medical history and conduct a thorough physical exam. You also may have a number of tests to determine the health of your 心, including:
Additional tests to check your blood vessels, 心, lung and kidney function also may be recommended and include:
- CT扫描
- 超声研究
在此期间, your doctor will discuss open surgery with you in detail, and answer any questions you may have.
过程
During conventional 动脉瘤 surgery, you first will be given anesthesia through a tiny needle placed in the back of your hand, which will put you asleep for the entire procedure. You also may have a small tube placed in your back, called an epidural to administer pain medication after surgery. A long, narrow tube, called a catheter will be inserted into your bladder to drain your urine. An intravenous (IV) drip also will be placed into a vein in your neck for blood pressure measurements and to give you fluids before and after surgery.
Depending on the type and location of your 动脉瘤, your surgeon will make an incision either through the breastbone, 胸部或腹部的一侧. Your doctor will then repair the weakened aorta by replacing the 动脉瘤 section with a tube made from a durable material, 称为涤纶. The graft is stronger than the weakened aorta and allows blood to pass through it without causing a bulge. It is sewn in place with permanent stitches.
Some patients, especially those with a thoracic aorta 动脉瘤, also have 心 disease. In these cases, 心 surgery may be performed at the same time as open 动脉瘤 repair.
复苏
手术后立即, you will spend the first few days in our intensive care unit (ICU) where you will be closely monitored and cared for by our team of experts. 在此期间, you will have an intravenous (IV) line to receive fluids and medications. You also may need to remain on a breathing machine for a short time. To help ease your discomfort, you will be given pain medications by injection through the epidural tube in your back, or by a machine that you are able to control by pressing a button.
当你变得更稳定, you will be transferred from the ICU into a regular recovery room and the various tubes will be removed. You may stay in the hospital for seven to 10 days. It may take several days before you are able to eat or drink, move around and go to the bathroom normally.
回家前, your doctor will arrange follow-up visits to check the progress of your recovery. You also will be given specific instructions to follow once you are at home. You will feel tired for many weeks after surgery and most people require two to three months to recover completely.
并发症
Like all surgeries, open 动脉瘤 repair does have some potential complications. 然而, our team carefully assesses and monitors your condition before and after surgery to minimize your risk of complications. Possible minor complications may include:
- 胸部感染
- 伤口感染
- 移植物感染
- 伤口漏液
- Bowel problems – Occasionally the bowel takes time to return to its normal function. You will be given fluids through an IV drip until your bowels get back to normal.
- Impotence – This occurs in about 10 percent of male patients
More serious complications, although rare, may include:
- 心脏病
- 中风
- 肾功能衰竭
- Loss of circulation in the legs or bowel
加州大学旧金山分校健康 medical specialists have reviewed this information. It is for educational purposes only and is not intended to replace the advice of your doctor or other health care provider. We encourage you to discuss any questions or concerns you may have with your provider.
