The aorta is a thick, major blood vessel that starts at the middle of your chest and ends in the abdomen. It is very important and vital to your body, as it is the major source of blood flow for your organs. Sometimes, parts of the aorta can become inflamed and begin to protrude, causing the blood flow to be obstructed, which cuts off necessary blood flow to your body. When such a condition occurs, it is referred to as an abdominal aortic aneurysm (AAA). An AAA can occur at varying levels of severity, and it is important to detect them as early as possible in order to determine the correct and safest method of treatment. If detected early enough, Arizona Premier Surgery offers a minimally invasive, less strenuous surgical procedure to remedy the aneurysm: an endovascular aneurysm repair (EVAR), where a stint is placed inside the aorta. EVAR surgery avoids the risks of open surgery and greatly reduces the patient's recovery time.
"Dr. Albert Amini is a total rockstar. He's the most impressive surgeon I've ever interacted with, hands down. Not only does he have a tremendous surgical record, he listens attentively and has the rare gift of being able to condense complex information into explanations that even we laypeople can digest.He was carefully deliberate and considerate even for my simple, routine surgery (appendectomy), so I cannot recommend him highly enough, if you or a loved one is ever in a complicated scenario requiring a thoughtful doctor who will be attentive and willing to take time to really *hear* you and establish a plan of action WITH you. The peace of mind he will give you will be well worth the trip to Arizona!"- T.B. / Yelp / Jan 05, 2018
"Dr. Amini is GREAT. I was in California last year on vacation and my Gallbladder blew. I had to get off Catalina Island and was sent to UCI Irvine where they did surgery New Years Eve. The surgeon told me after that she could not do it laparoscopically because of adhesions and so it was an open surgery. Even then she said she could only take part of the gallbladder as it was too infected to do much else. I had to have an ERCP the next day due to a bile leak they had to put a stent in. I kept having troubles after I was released and sent back home. My husband found Dr Amini because of his specialty. I was told in California they took most of the gallbladder but every CT scan that was done here showed a full gallbladder. I don't think they did anything but drain it. Dr. Amini took my case was very patient with me and when he did the surgery, he did it laparoscopically with 3 small incisions. He took down all the adhesions from my previous messed up surgery with Mayo and now UCI. Then he removed the gallbladder totally. He said i was 90% in tact. I am so happy surgery was a complete success and I am 2 weeks post op and I feel great have been walking 5 miles a day and ready to start playing tennis. You would be lucky to have a surgeon like Dr. Amini. He knows his stuff!!"- S.M. / Yelp / Dec 14, 2017
"This review is for Dr. Bianca Vazquez. I would give a million stars if that were an option! She is the endocrinology specialist and I just had my follow-up with her after she removed my thryroid 16 days ago. First of all, she is an incredibly talented and skilled surgeon. My steri-strips were removed today and my scarring is so minimal it's almost shocking that the procedure was done 16 days ago! My favorite thing about her is her bedside manner. She was so good about taking plenty of time to explain EVERYTHING including different options for treatment, post care, follow up and even diet advice! She's the epitome of the "new school" of doctors which emphasizes the importance of patients' input and participation in their own care. It's like you make the decisions together. The Scottsdale office is beautiful and Dr. Vazquez and the staff provide a warm and welcoming environment. I just love how personable she is and I feel like I not only found an incredibly knowledgeable and skilled surgeon but that I have made a new friend. Look no further if you need endocrinology surgery! She's the BEST!!!"- Z.K. / Yelp / Dec 07, 2017
"I was referred to Dr Vazquez by my Endocrinologist because of the fast growing nodules on my thyroid. Knowing she worked at Mayo Clinic, I had a really good feeling going in. We first met her at the consultation & were immediately impressed with the thorough information she gave us. She made sure we did not have any further questions regarding surgery before letting us go. It was really nice to have an option as to where the surgery would take place. She came to see me in pre-op right before surgery to let my family know how long to expect the surgery to be & ensure we had no further questions. My scar from surgery is barely visible. So much so, that when I went for post-surgery, her nurse had to do a double take. Not only a terrific surgeon, this lady has drive & thrives to be above & beyond any expectations of her patients. We definitely need more doctors like Dr Vazquez!!! Terrific lady!!!"- N.W. / Google / Dec 04, 2017
"I met Dr. Amini when I was told I had to have my appendix removed that same night in the ER when I went in for abdominal pain. His bed side manner, patience and explaining the whole surgery and answering all questions my mom and I had was beyond excellent. My surgery went very well with no complications. He is extremely thorough. After seeing him in his office after surgery my opinion of him still stands. He's an amazing surgeon, very kind, assuring, compassionate and his patient care is outstanding. I would highly recommend him to anyone in need! Thank you Dr. Amini for taking such great care of me!"- A.M. / Google / Nov 20, 2017
Common Reasons for Surgery
Damaged or Weakened Aortic Walls
The wall around the aorta can become damaged or weakened over time due to a number of factors. Some of the most common causes are tobacco use, such as excessive cigarette smoking, as well as high blood pressure, both of which put stress on the aorta and the surrounding areas, causing it to be susceptible to inflammation and producing an aneurysm.
Atherosclerosis simply refers to a condition where the arteries are hardened. The most common cause of atherosclerosis is associated with the accumulation of fat or other harmful materials along the wall of the blood vessels, increasing the risk for an aneurysm or enlargement of the aorta to occur.
Aortic Infection or Diseases
When arteries inside the aorta become invaded by outside bacteria or fungus, infections can occur within the aorta, causing inflammation of the blood vessels. Similarly, blood vessel diseases can cause enlarged blood vessels, resulting in an AAA.
Trauma associated with car accidents or other traumatic events can create an abdominal aortic aneurysm due to the impact and stress put on the abdominal cavity during the accident. These incidents can result in severe back or abdominal pain or throbbing in the abdomen. Such symptoms are a sign of an AAA.
Endovascular aneurysm repair (EVAR) is an advanced procedure that Arizona Premier Surgery offers as a solution to certain AAA conditions. It’s a less invasive and lower risk alternative to open surgery. During EVAR, small incisions are made along the groin area, where a graft (a synthetic, tube-like object) is threaded through a catheter and carefully placed within the aneurysm site, guided by X-ray machines to ensure precise positioning of the stint. Once the graft is secured by pins and hooks, it is then enlarged to support the aorta and reduce the risk of rupture, allowing blood flow to resume regularly. The catheter is then guided back out of the incisions before they are carefully closed. If this procedure is recommended, it greatly reduces the recovery time and stress compared to an open surgical procedure.
What to Expect
Patients who undergo the endovascular aneurysm repair procedure under the skilled hands of our surgical team can expect the procedure to take between 2 – 3 hours. After the operation, a standard hospital stay of 2 – 4 days will follow, with the nursing staff encouraging walking and movement soon after awakening. After the routine hospital stay, and if patients are cleared to return home, patients are expected to make a full recovery within just 2 – 4 weeks upon being released, which is considerably less time in comparison to an open surgery. Patients should return to their doctor 4 – 6 weeks after their surgery to have their condition and recovery assessed.
Plan Your Procedure
- Recovery Time
- 2 Weeks
- Average Procedure Time
- 2 - 4 Hours
- Post-op Follow-up
- 4 - 6 Weeks
- Procedure Recovery Location
Addressing Critical Needs
If you are experiencing any abdominal pain or signs of an abdominal aortic aneurysm, it is critical to act quickly and schedule an appointment for immediate observation at Arizona Premier Surgery. Our team of trusted surgeons will accurately assess your situation and ensure your wellness is restored as quickly as possible.