Aortic Aneurysms Treatment in Noida, Delhi, India

Overview

An aortic aneurysm is a serious condition characterized by a weakened and bulging section in the aorta, the body’s largest artery responsible for transporting oxygenated blood from the heart. If left unmanaged, aortic aneurysms can expand, potentially leading to life-threatening events such as rupture or dissection.

• In aortic dissection, a tear in the aorta’s inner layer permits blood to flow into and separate the layers of the aortic wall.
• Aortic rupture indicates the bursting of the aneurysm, resulting in severe internal bleeding, a dangerous drop in blood pressure, and often, death.

Prompt detection and swift treatment are essential to avert these devastating consequences.

Symptoms of a Ruptured Aortic Aneurysm

Often, aneurysms show no symptoms until significant growth or rupture occurs. Signs of a ruptured aortic aneurysm may present as:

• Sudden and severe abdominal or back pain
• Pain radiating to the lower limbs or groin
• Fainting or loss of consciousness
• Cold, clammy skin
• Nausea or vomiting
• Rapid pulse
• Signs of shock

Immediate medical care is crucial if any of these symptoms arise.

Types of Aortic Aneurysms

Aortic aneurysms are classified based on their location:

1. Thoracic Aortic Aneurysm (TAA) – occurs in the chest region
2. Abdominal Aortic Aneurysm (AAA) – located in the abdominal region; the most frequently observed type.
3. Thoracoabdominal Aneurysm – extends across both the thoracic & abdominal sections of the aorta.

Causes and Risk Factors

Aortic aneurysms typically result from weakened arterial walls. Contributing factors include:

• Genetic disorders (e.g., Marfan syndrome, Loeys-Dietz syndrome)
• Aging
• High blood pressure
• Smoking
• Male gender
• Family history
• Atherosclerosis (plaque buildup in arteries)

Other associated health conditions:

• Bicuspid aortic valve
• Chronic obstructive pulmonary disease (COPD)
• Kidney disease
• High cholesterol
• Trauma
• Infections
• Obesity
• Vasculitis
• Pheochromocytoma (adrenal gland tumor)

Diagnosis of Aortic Aneurysms

Diagnosis is based on clinical evaluation & advanced imaging. A doctor may detect a pulsating mass in the abdomen or diminished pulses in the limbs. Diagnostic tests may include:

• Abdominal Ultrasound – First-line test for AAA
• CT Aortogram – Offers detailed 3D imaging of the aorta
• MRI – Useful for assessing complex aneurysms and aortic dissection
• Transesophageal Echocardiography (TEE) – Ideal for detecting thoracic aneurysms or dissections
• Conventional Angiography – Now less commonly used but still effective in selected cases

Treatment Options

Treatment depends on the size, location & progression of the aneurysm:

1. Medical Management

• Recommended for small, stable aneurysms
• Involves blood pressure control, cholesterol-lowering drugs & lifestyle changes
• To observe any changes in size, the aneurysm is regularly monitored with imaging every six months.

2. Surgical Intervention

Surgery is considered when:

• The aneurysm’s diameter exceeds 5 cm.
• There is rapid growth
• Pain or leakage symptoms are evident.

Surgical Options:

• Open Repair Surgery: The aneurysm is surgically removed and replaced with a synthetic graft through a large abdominal or chest incision.
• Endovascular Aneurysm Repair (EVAR): A less invasive procedure using a catheter to place a stent-graft inside the aorta. Ideal for older adults or high-risk patients, offering quicker recovery and fewer complications.

Complications if Left Untreated

Untreated aneurysms can lead to:

• Rupture: Often fatal due to internal bleeding
• Aortic Dissection: Tearing of the aorta wall causing stroke, organ failure, or death
• Aortic Regurgitation: Aneurysm-related distortion causes the aortic valve to leak.
• Blood Clots: May break off & block blood supply to vital organs

Prognosis

With early diagnosis and proper treatment, aortic aneurysm outcomes are typically favorable.  However, if rupture or dissection occurs, the survival rate drops dramatically—only about 20% of patients survive a ruptured aortic aneurysm even with emergency care.

Why Choose Metro Hospital, Noida for Aortic Aneurysm Treatment?

At Metro Hospital, Noida, we offer comprehensive and advanced care for aortic aneurysms, backed by:

• Over 27 years of clinical excellence
• A dedicated team led by Dr. Jeewan Pillai, Chief Cardiothoracic and Vascular Surgeon
• State-of-the-art imaging technologies for accurate diagnosis
• Expertise in both open and endovascular procedures
• Personalized follow-up care and risk factor management

Book a Consultation

For those at risk or diagnosed with an aortic aneurysm, early consultation can be life-saving.
Call now: +91 844 766 6333
Visit: www.metrohospitals.com
Metro Hospital & Heart Institute, Sector-12, Noida