Abdominal Aortic Aneurysm (AAA)

An abdominal aortic aneurysm, often called an “aortic bulge,” is a serious vascular problem where the wall of the abdominal aorta—the largest artery in your body—becomes weak and balloons outward. Most AAAs develop slowly over years, often without noticeable symptoms, but rapid expansion or rupture can be life-threatening. Let’s discuss in detail about Abdominal Aortic Aneurysm treatment Mumbai

Who Develops AAA and What Causes It?

(Abdominal Aortic Aneurysm) AAAs are most common in males over 60, smokers, people with high blood pressure, and those with a family history. Causes include:

  1. Atherosclerosis (fatty deposits in artery walls)
  2. Chronic hypertension
  3. Genetic connective tissue disorders (like Marfan syndrome)
  4. Artery inflammation or trauma
Abdominal Aortic Aneurysm treatment Mumbai

Symptoms of Abdominal Aortic Aneurysm

AAAs are usually silent. As they get larger, patients may notice:

  1. Persistent, deep abdominal pain
  2. Throbbing sensation or pulsing near the navel
  3. Unexplained back pain
  4. Sudden, severe pain and fainting (if ruptured—which is an emergency)

Diagnosis

Suspected AAA is diagnosed by:

  1. Physical examination (may feel a pulsating abdominal mass)
  2. Ultrasound: Gold standard for screening and follow-up
  3. CT scan: Detailed size/location, especially before surgery

Abdominal Aortic Aneurysm Treatment Mumbai

Monitoring

  • Small AAAs (<5cm) without symptoms are monitored with regular ultrasound and managed with lifestyle changes and medication to control blood pressure and cholesterol.

Surgery

Large (>5–5.5cm) or symptomatic AAAs, or those growing rapidly, need surgical intervention—this is life-saving.

The surgical procedures for treating abdominal aortic aneurysm (AAA) are:

  1. Endovascular Aneurysm Repair (EVAR): A minimally invasive technique, where a stent graft is inserted via small incisions in the groin and guided into the weakened section of the aorta. This reinforces the artery from within and reduces the risk of rupture. Recovery is usually faster and hospital stay is shorter.
  2. Open Surgical Repair: Involves making an incision in the abdomen, removing the aneurysmal section of the aorta, and replacing it with a synthetic graft. This method is used for larger or more complex aneurysms. Recovery may take longer compared to EVAR, but results are long-lasting.

Both procedures aim to prevent aneurysm rupture and improve patient survival. The choice depends on aneurysm size, shape, location, and overall patient health.

Cost of AAA Treatment in India (including Mumbai)

  1. Costs vary based on hospital, surgeon’s expertise, type of graft, room type, and additional medical needs.
  2. Post-surgery follow-up and medication are additional.
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Recovery and Follow-Up

After surgery, most patients stay in the hospital for a few days (less for EVAR). Full recovery can take 2–6 weeks. Long-term monitoring is essential to watch for complications and ensure the graft is functioning.

Conclusion

Dr Pradeep Shriyan is a renowned senior surgeon in Mumbai, well-versed in the diagnosis and treatment of vascular conditions like abdominal aortic aneurysm. With extensive expertise in both open and minimally invasive surgical techniques, he provides precise evaluation, modern interventions such as endovascular stent grafting, and comprehensive post-operative care. Dr Pradeep Shriyan is known for his specialised approach, patient-centric guidance, and commitment to ensuring safe, effective outcomes for individuals with complex vascular diseases. For those at risk or diagnosed with an aortic bulge, Dr Pradeep Shriyan’s advanced surgical skills and caring support make him a trusted choice for treatment in Mumbai.

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