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Abdominal Aortic Aneurysm Repair

Survivability of Abdominal Aortic Aneurysm Repair

The prognosis for abdominal aortic aneurysm repair is typically for a full recovery if the surgery occurs before the aneurysm ruptures. Complete recovery following traditional aortic aneurysm open repair surgery may take between two and three months, but the recovery period after endovascular repair is usually shorter.
Among the possible complications of aortic aneurysm repair are bleeding before or after surgery and poor blood supply to the legs and lower part of the body, which can lead to sexual problems or kidney failure. Another potential problem is nerve damage causing pain or numbness in the legs. The specific risks of abdominal aortic aneurysm repair open include:
  • Bleeding before or after surgery
  • Poor blood supply to your legs, your kidneys, or other organs
  • Wound breaking open
  • Infection of the graft or incision
  • Injury to intestines or other nearby organs
  • Damage to the ureter tube that moves urine from the kidneys to the bladder
  • Spinal cord injury
  • Loss of sexual drive
Surgical risks unique to endovascular repair include:
  • Bleeding before or after procedure
  • Unsuccessful procedure requiring open surgery
  • Blockage of the stent
  • The stent slips
  • Bleeding around the graft requiring more surgery
  • Damage to a nerve, causing weakness, pain, or numbness in the leg
Follow-up care includes regular visits to the doctor to ensure the repair is not leaking blood and to remove sutures or surgical staples, if that was not done at the hospital. In addition, once back home, the patient must adhere to the bathing instructions provided by the doctor. The wounds must be kept clean and dry. Activity will be restricted until cleared by the doctor. Fever or chills, increased pain or redness, swelling or bleeding at incision could indicate a problem with the repair and must be treated as soon as possible.

Locations for Abdominal Aortic Aneurysm Repair