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.
"I was referred to Dr. Albert Amini following a ct scan. He professionally went over the results with me. His caring nature assured me that the results were probably non-evasive. He suggested a follow-up mri in 6 months. During my follow-up appointment, his caring professional demeanor asked me that son was alright. Dr. Amini sat with me, described the images of the mri, and gave me his professional opinion of the results of the scan."- H.F. / Yelp / Jan 19, 2018
"Dr. Amini is the only surgeon that I would ever use. I has performed 3 unrelated surgeries and his knowledge, skill and compassion is second to none. I feel 100% confident in the service I receive while under his care. Dr. Amini is THE BEST!"- J.B. / Healthgrades / Apr 22, 2018
"I had the Whipple procedure for Pancreatic Neuroendocrine Cancer. Dr. Amini not only has unsurpassed surgical expertise, but his bedside manner is wonderful. I felt that he explained the procedure well, and I felt he informed me and encouraged me the entire time I was in the hospital. His staff is also kind and professional. I would recommend Dr. Amini to anyone. I see many physicians, and he is by far one of the best. He is definitely NOT your average (rude) surgeon."- K.T. / Healthgrades / Mar 05, 2018
"I had recent Whipple procedure with Dr. Amini for Pancreatic Neuroendocrine Cancer. I have many physicians, and I must say Dr. Amini is now at the top of my list. He is not only an exceptional and experienced physician, but his bedside manner is unsurpassed. Surgeons generally had an abrupt manner--- not Dr. Amini. He thoroughly explained the procedure and listened and encouraged me after surgery. His staff is equally good. I would recommend Dr. Amini to anyone in need of surgery. He is awesome!"- K.T. / Yelp / Mar 05, 2018
"Dr. Amini is a fantastic surgeon. He is caring, compassionate, and very knowledgeable. He actually listens to his patients’ concerns, problems, and quality of life. Dr. Amini accessed my sister by talking to her, listening to her and doing his own hands on exam, not just basing his opinion on what was on paper. He then discussed the procedure and all possible outcomes with my sister. With this approach, he was able to help her. I would recommend him to ANY of my family and friends."- N. / Healthgrades / Feb 13, 2018
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.