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What is an aneurysm? In this video, Jon M. Wesley, M.D., F.A.C.S., a board-certified vascular surgeon at Vascular Specialists of Central Florida, discusses what an aneurysm is and the different types of treatment options available. “One of the conditions that we treat is aneurysm disease,” says Dr. Wesley. “What is an aneurysm? An aneurysm is a blood vessel that has gotten too big. When a blood vessel gets too big, its wall weakens. When that wall weakens, it ruptures. Now depending on where that aneurysm is, if it ruptures, that could mean instant death. Aneurysms are very serious conditions. The question is what aneurysms are at risk for rupturing? When it comes to aneurysms that involve the abdominal aorta, which is the largest blood vessel in the body, size is the most important determiner of rupture.” “Aneurysms that are not very big, but larger than a normal blood vessel are usually followed over time until they get to a certain point where we think the risk of them rupturing is high enough to justify fixing them. But once aneurysms reach that threshold, some treatment is generally recommended to lower the risk of rupture. The primary goal of repairing an aneurysm is to prevent flow into that aneurysm while preserving flow to all of the blood vessels that are around that aneurysm. There are two ways that we treat aneurysms, particularly those that involve the abdominal aorta. One is to treat them from within. “We place a special type of stint that looks like a pair of pants, and we place that stint above and below the aneurysm so that the legs can continue to get blood flow, but we exclude blood flow into the aneurysm sacks so that it does not continue to expand and rupture. Not all patients are candidates for that minimally-invasive type of procedure, and so a small proportion of our patients will require us to do open surgery. We sow a prosthetic tube above the aneurysm and below the aneurysm to achieve that same goal, which is to continue blood flow down to the legs while excluding blood flow into the sack of the aneurysm.” “When you have minimally-invasive surgery done, you're in the hospital for one day. You go home on the following day, and you may have some bruising. You may be a little sore in the groins, and we may limit your heavy lifting and strenuous activity for a couple of weeks, but by and large, you're back to your normal activities after you're discharged from the hospital the day after. Some patients will have complications related to the procedure, and they may have to stay in the hospital a little bit longer, but most patients get to go home the next day.” “When you have open surgery, it does require a more lengthy stay, usually about five to seven days, with some of that time being spent in the hospital,” Dr. Wesley continues. “The recovery is a bit longer, and your ability to eat will be limited for a couple of days. You will be a lot sorer because you're recovering from an incision on your belly. But after about a couple of weeks, that soreness starts to wane, and you start to increase your activities. Your full recovery after open surgery can take anywhere from three to six months in terms of you feeling like your normal self again.” For more visit https://arteryandvein.com/ To learn more about Dr. Wesley visit https://arteryandvein.com/jon-m-wesle... To learn more about abdominal aortic aneurysm visit https://arteryandvein.com/abdominal-a... To learn more about our vascular services visit https://arteryandvein.com/services/ For patient resources visit https://arteryandvein.com/patient-res... To learn more about varicose vein treatments visit https://arteryandvein.com/varicose-ve... For practice news and blog visit https://arteryandvein.com/blog/