Thoracic Aortic Aneurysm Treatment

If you have a thoracic aortic aneurysm, you need the care and expertise of a specialized group of physicians who work together as a team to provide advanced care. 

At Fletcher Allen, our knowledgeable vascular experts work together to provide effective and timely aortic aneurysm treatment. Meet our:

Determining your Treatment Options

The size, shape, and growth patterns of your thoracic aortic aneurysm determine the course of action your team of physicians recommends. If your aneurysm is causing symptoms, is 1.9 to 2.4 inches (5 to 6 centimeters) or larger, or is found to be growing, a surgical procedure may be necessary.

Fletcher Allen’s highly skilled vascular surgeons are devoted to the treatment of diseases of the vascular system. All surgeons are fully certified by the American Board of Surgery with special qualifications in Vascular Surgery.

Treatment for Thoracic Aortic Aneurysm in Burlington, VT

Treatment options for thoracic aortic aneurysms at Fletcher Allen include:

Regular Monitoring

If your thoracic aortic aneurysm is small, regular observation and monitoring may be all that is needed. Fletcher Allen vascular surgeons will monitor your aneurysm on a regular basis with periodic imaging tests, such as an echocardiogram, to detect any changes in size.  

If you have high blood pressure or high cholesterol, your primary care physician may prescribe medications to reduce the risk of complications from your aneurysm. 

In addition, our vascular team can refer you to other services, such as a quit smoking program, that can help control growth of the aneurysm.

Endovascular Aneurysm Repair

This is a minimally invasive procedure. With this surgery, Fletcher Allen vascular surgeons place a fabric and metal tube called a stent graft (or endograft) into the weakened aorta. The stent graft is placed through small incisions (cuts) in your leg. The stent graft is guided through a catheter – a long, thin tube – and placed into the leg artery under X-ray guidance.

The endovascular stent graft strengthens the weakened section of the aorta to prevent the aneurysm from rupturing.

Open Repair

With an open surgical repair, your surgeon begins by making an incision in your chest and removing the damaged part of the aorta.  Then a synthetic tube-like device called a graft is sewn into place.  The graft takes the place of the weakened part of the aorta and allows blood to pass easily.

Shorter recovery time

Recovery time for endovascular aneurysm repair is usually shorter than for open chest surgery.  Long-term follow-up care is needed to monitor the stent graft.

Whether or not you are a good candidate for endovascular aneurysm repair depends on the shape of your aneurysm and other factors. Be sure to discuss all of your options with your surgeon and team.

Find a Fletcher Allen physician or call 802-847-0000.