Nonsurgical Treatments for Triple A

You’re not alone if you’ve been diagnosed with a Triple A. The Society for Vascular Surgery estimates that every year about 200,000 Americans are diagnosed with a Triple A (abdominal aortic aneurysm).

Renowned vascular surgeon Farouk Marzouk, MD is the medical director and leader of our team here at Frontier Medical Care in the Bay Ridge area of Brooklyn, New York.

Dr. Marzouk is known for his expertise in diagnosing and treating conditions that affect your vascular health, including varicose veins, carotid artery disease, peripheral artery disease (PAD), deep vein thrombosis (blood clot), and Triple A. 

Here’s what Dr. Marzouk has to say about Triple A, and why he may or may not recommend surgery.

What is a Triple A?

An aneurysm occurs when a portion of an artery wall weakens and creates a bulge or widening in the vessel. Any artery can develop an aneurysm, but they are most common in the aorta. This is the largest blood vessel in your body.

An abdominal aortic aneurysm occurs in the portion of the aorta that carries blood to your lower extremities and most of your major organs.

Health complications of a Triple A

An aneurysm can grow, and much like an overfilled balloon, it may tear or rupture if the artery wall is stretched too far. A ruptured Triple A causes extensive internal bleeding that can quickly become life-threatening.

Who is at risk for Triple A?

Several factors increase your risk of developing Triple A, including:

Note that tobacco use not only increases your risk of developing an aneurysm, it also raises the odds that your aneurysm will rupture.

How do you repair a Triple A without surgery?

Because of the serious nature of a Triple A, it’s imperative that you follow up with your specialist as advised. Fortunately, however, a Triple A is often slow growing and may remain small enough to require only close medical monitoring and management.

In this case, Dr. Marzouk may recommend periodic evaluations to track the growth of the aneurysm via physical exam and painless imaging studies such as abdominal ultrasound. He also provides support for managing risk factors with tight control of your blood pressure and cholesterol levels.

What if I need surgery?

Depending on the size and rate of growth, a Triple A may require surgery. The surgical goal is to repair the weakened area with a synthetic graft that reinforces the artery wall. This may be accomplished with open (traditional) surgery, which requires a long abdominal incision to access the site.

Dr. Marzouk performs endovascular repair, which is a much less invasive option that requires only a small incision in the groin. He inserts a tiny tube (catheter) that he feeds up through the artery to access the targeted site. Small surgical instruments are then passed through the catheter. Using X-ray imaging as a guide, Dr. Marzouk uses the instruments to place the graft.

For further details regarding the diagnosis and management of Triple A, schedule a visit at Frontier Medical Care today.

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