Abdominal aortic aneurysm (AAA) open repair treats dangerous enlargements of the aorta, including thoracic and peripheral aneurysms, that can rupture if left untreated. At Atrium Vascular Associates, board-certified vascular and endovascular surgeon Dr. Sydney Wong carefully evaluates your condition and performs surgical repair when appropriate.
Prevent Rupture by
Reinforcing the Aorta
AAA open repair is a traditional surgical procedure used to treat abdominal aortic aneurysms, and in some cases, thoracic or peripheral aneurysms. During this operation, an incision is made in the abdomen to directly access the weakened section of the aorta. The diseased segment is replaced with a durable synthetic graft that restores normal blood flow. Open repair remains a highly effective, time-tested treatment for appropriately selected patients.
Why Do You Need AAA Open Repair?
AAA open repair is used to treat large, rapidly growing, or high-risk aortic aneurysms that place you at risk for a rupture and life-threatening internal bleeding. This surgery may be recommended when an aneurysm involves the abdominal aorta, thoracic aorta, or peripheral arteries, or when minimally invasive options are not appropriate. Open repair allows the surgeon to remove the weakened segment of the artery and replace it with a durable graft for long-term stability. You may need an AAA open repair if:
- You have an aneurysm that has reached a size associated with rupture risk
- You have symptoms such as abdominal, back, or flank pain
- You have an aneurysm that is growing quickly over time
- You have anatomy that is not suitable for endovascular repair
- You have a complex, extensive, or previously treated aneurysm
Why Choose Dr. Sydney Wong?
Dr. Sydney Wong is a board-certified vascular and endovascular surgeon with extensive experience treating complex aortic disease. He performs open abdominal aortic aneurysm repair with meticulous techniques and thoughtful preoperative planning, ensuring the procedure is tailored to your anatomy. His background in both open and endovascular approaches allows him to recommend the safest, most appropriate treatment for your specific aneurysm.
What to Expect During AAA Open Repair?
During AAA open repair, you are placed under general anesthesia in a hospital operating room. Dr. Wong makes an incision in your abdomen to access the aorta and carefully exposes the aneurysm. Blood flow is temporarily controlled while the weakened section of the artery is opened and reinforced with a durable synthetic graft. The graft is sewn to healthy portions of the aorta above and below the aneurysm, which helps restore normal blood circulation. The incision is then closed, and you begin monitored recovery.
Benefits of AAA Open Repair
AAA open repair offers a durable, time-tested solution for treating complex or high-risk aortic aneurysms, particularly when anatomy limits minimally invasive options. Key benefits include:
- Long-term durability with a surgically secured graft
- Direct visualization of the aneurysm and surrounding anatomy
- Reliable outcomes for large, complex, or extensive aneurysms
- No need for ongoing device surveillance in many cases
- Proven effectiveness across decades of surgical experience
AAA Open Repair FAQs
How Do I Know if I Need Open Repair Instead of EVAR?
The choice between open repair and endovascular repair depends on several factors, including the size and shape of your aneurysm, the quality of your blood vessels, and your overall health. If your anatomy does not safely support a stent graft, or if your aneurysm is large, complex, or involves multiple segments, open repair may be the most reliable option.
What is Recovery Like After an AAA Open Repair?
Recovery is gradual and continues at home after discharge. You may experience fatigue and abdominal soreness as your body heals. Walking is encouraged, but heavy lifting and strenuous activity are restricted for several weeks. Clear guidance is provided so you understand what to expect, how to care for your incision, and when it is safe to resume normal activities.
Schedule Your Consultation
Atrium Vascular Associates is a vascular practice located in Richmond Hill, providing advanced surgical care for patients across the Greater Toronto Area. If you have been diagnosed with an aortic aneurysm or need expert evaluation, we invite you to schedule a consultation to discuss your options and receive individualized guidance from Dr. Sydney Wong.
