Do thoracic surgeons work on the aorta?

In addition, thoracic surgeons may work along side vascular surgeons to complete a complex procedure involving the entire aorta or peripheral blood vessels.

What are the surgical management available for aortic dissection?

Acute aortic dissection can be treated surgically or medically. In surgical treatment, the area of the aorta with the intimal tear is usually resected and replaced with a Dacron graft. Emergency surgical correction is the preferred treatment for Stanford type A (DeBakey type I and II) ascending aortic dissection.

Who fixes aortic aneurysm?

The following specialists commonly perform an aortic aneurysm repair: Vascular surgeons specialize in the surgical treatment of blood vessel diseases. Thoracic surgeons specialize in the surgical treatment of diseases of the chest, including the blood vessels, heart, lungs and esophagus.

Does a vascular surgeon treat aneurysm?

Not all aneurysms are suitable for endovascular repair; however, vascular surgeons at UCSF Medical Center are experts in the treatment of aneurysms using the conventional and endovascular approach.

What surgeries do thoracic surgeons do?

Thoracic surgery focuses on the chest organs, including the heart, lungs, esophagus, and trachea. Technological advances have increased the safety and availability of these complex surgical procedures. Lung cancer surgeries, heart transplants, and anti-reflux surgeries save and improve lives around the world.

Why would you be referred to a thoracic surgeon?

In most cases, people see a thoracic surgeon when their primary care doctor or other doctor finds or suspects a problem that requires chest surgery, such as heart disease, lung cancer, or swallowing problems in the esophagus.

What happens during an aortic dissection?

An aortic dissection is a serious condition in which a tear occurs in the inner layer of the body’s main artery (aorta). Blood rushes through the tear, causing the inner and middle layers of the aorta to split (dissect). If the blood goes through the outside aortic wall, aortic dissection is often deadly.

What is the life expectancy after successful repair of aortic dissection?

Although specific information about overall life expectancy after aortic dissection repair is not available, a recent study from the International Registry of Acute Aortic Dissection reported that about 85\% of patients who have undergone successful repair of acute dissection involving the ascending aorta remain alive …

When is surgery recommended for thoracic aortic aneurysm?

Surgery is generally recommended for thoracic aortic aneurysms about 1.9 to 2.4 inches (about 5 to 6 centimeters) and larger.

At what size do you operate on an aortic aneurysm?

If the aneurysm is more than 5.5 centimeters in size, or if it’s rapidly getting larger, your doctor may recommend surgery to repair the aneurysm. In many cases, doctors will run a catheter through the patient’s femoral artery in the groin to the site of the aneurysm in the aorta, then implant a stent graft.

Do all aortic aneurysms need surgery?

Ruptured AAAs require immediate open surgery or endovascular stent grafting; even then, mortality is high. Elective surgical repair is recommended for aneurysms > 5 to 5.5 cm and for those that are rapidly enlarging or causing ischemic or embolic complications.

When does aortic aneurysm need surgery?

What is aortic aneurysm and dissection repair?

Aortic Aneurysm and Dissection Repair. An aortic aneurysm is an enlargement or dilatation of a part of the body’s major blood vessel, the aorta, which is responsible for carrying blood to the entire body. Aortic aneurysms tend to slowly grow over time. If the aorta becomes too large, it may be at higher risk for rupturing (bursting)…

What is open thoracic aortic dissection (TAA)?

The procedure is called open thoracic aortic aneurysm repair or TAA. Sometimes misnamed a thoracic aortic dissection, which represents a different process that causes a tear in the wall of the aorta. This can be caused by an aneurysm or can occur spontaneously and develop into an aneurysm.

What is a thoracic aortic aneurysm?

A thoracic aortic aneurysm or TAA is a bulging of the wall of the aorta, the main vessel that feeds blood from your heart to tissues and organs throughout your body. The aorta is normally about the size of a large garden hose. When the aorta expands to more than twice its normal diameter, it is called an aneurysm.

What are the indications for the surgical treatment of aortic dissection?

Indications for the surgical treatment of aortic dissection include an acute proximal aortic dissection and an acute distal aortic dissection with one or more complications. Complications include compromise of a vital organ, rupture or impending rupture of the aorta, retrograde dissection into the ascending aorta.

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