Vascular Surgical Procedures
Abdominal Aortic Aneurysm Surgical Repair (AAA Repair)
The traditional repair procedure is an open-abdomen (or open-chest) surgery. The bulging aneurysm part of the aorta is removed, an artificial graft is put in its place, and the remaining aortic end-pieces are re-connected to the graft. The surgery is performed in the cardiac surgery suite or the operating room (OR), under general anesthesia and usually takes 3-5 hours.
The surgery takes about two hours under general anesthesia. As with any surgical procedure, there risks that your surgeon will discuss with you, along with the benefits of your surgery. In many cases, the surgery is recommended or performed to help prevent a stroke from occurring.
Femoropopliteal Bypass (fem-pop bypass) SurgeryFemoropopliteal (fem-pop) bypass surgery is used to bypass diseased blood vessels above or below the knee.
To bypass the blocked blood vessel, blood is either redirected through a transplanted healthy blood vessel, or a man-made graft material is sewn to the existing artery and blood is rerouted through it.
Prior to surgery, the doctor will determine what type of material is best suited to bypass the blood vessel. Whenever possible, the surgeon will choose to use an existing piece of vein taken from the same leg. Man-made graft materials (such as polytetrafluoroethyline [PTFE] or Dacron) are more likely to become narrowed again, but they are still effective.
The section of vein or man-made blood vessel is sewn onto both the femoral and popliteal arteries so that blood can travel through the new graft vessel and around the existing blockage(s). See an illustration of a femoropopliteal (fem-pop) bypass .General anesthesia or an injection in the spine (epidural) that prevents pain in the lower part of the body is used for this surgery. General anesthesia will cause you to sleep through the procedure.