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Aortic Disease

Aortic disease encompasses a range of conditions affecting the aorta, the largest blood vessel, which is responsible for transporting oxygen-rich blood from the heart to the rest of the body. One of the most common forms of aortic disease is an aortic aneurysm, with aortic dissection and aortic occlusion also being serious conditions that require prompt medical attention.

At Vascular Associates of WNY, we pride ourselves on being a leading provider of vascular care in Western New York, offering expert diagnosis and treatment for aortic conditions. Our dedicated team of specialists employs advanced diagnostic tools and techniques, ensuring patients receive the most effective treatment tailored to their specific needs. With a commitment to quality care, we understand the complexities involved in vascular health and work closely with our patients to develop personalized treatment plans.

Request an appointment online today, and let our Vascular Associates of WNY team assist you in managing your vascular health with expertise and compassion.

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Man Suffering from Chest Pain

Dissection, Occlusion & Abdominal Aortic Aneurysm Treatments

Types of Aortic Diseases & Treatment Options

Aortic diseases are conditions that arise from abnormalities within the aorta. Understanding these disorders is crucial for timely diagnosis and effective treatment. If you or a loved one is experiencing symptoms associated with aortic conditions, schedule a consultation with us to discuss your options for diagnosis and treatment. Our team is here to provide the expert care you need.

Aortic Dissection

Aortic dissection occurs when there is a tear in the inner layer of the aorta's wall. This tear allows blood to enter the vessel wall, creating a new channel for blood flow. This can quickly lead to severe complications, including rupture of the aorta, which is a life-threatening emergency.

Symptoms of an aortic dissection may include sudden, severe chest or back pain, often described as a ripping or tearing sensation. Other symptoms can include shortness of breath, fainting, or even stroke, depending on how the dissection affects blood flow to other organs. Several risk factors are associated with aortic dissection, including hypertension, genetic conditions such as Marfan syndrome, and other cardiovascular diseases.

The management of aortic dissection typically depends on the location and severity of the tear. In some cases, patients may require immediate surgical intervention. Surgical options include:

  • Open-heart Surgery: This is performed to repair or replace the damaged aorta.
  • Endovascular Repair: A less invasive option involves placing a stent graft within the aorta through small incisions in the groin, allowing for repair of the aorta without open surgery.

For less severe cases, management may include aggressive blood pressure control and regular monitoring.

Aortic Occlusion

Aortic occlusion refers to a blockage of the aorta that prevents blood from flowing properly to the lower parts of the body. This can occur due to a blood clot, atherosclerosis (plaque buildup in the arteries), or external compression. Symptoms of aortic occlusion can include leg pain, coldness in the extremities, and fatigue or weakness during physical activity, as the body's tissues and organs do not receive an adequate blood supply.

Aortic occlusion can lead to critical limb ischemia, where tissue damage occurs due to insufficient blood flow, potentially resulting in amputation if not treated swiftly. Understanding the signs and symptoms of aortic occlusion is essential for timely intervention.

The treatment for aortic occlusion often focuses on restoring blood flow to the aorta and the affected limbs. Options can include:

  • Medications: Anticoagulants or thrombolytics may be used to dissolve clots and improve blood flow.
  • Angioplasty and Stenting: This minimally invasive procedure involves using a balloon to open the narrowed part of the aorta, often followed by placing a stent to keep the artery open.
  • Bypass Surgery: In some cases, a bypass graft may be necessary to circumvent the blocked area of the aorta, allowing blood to flow freely to the lower extremities.

Aortic Aneurysm

An aortic aneurysmoccurs when a section of the aorta becomes enlarged and weakened, potentially leading to rupture or dissection. This condition typically does not cause symptoms until it becomes large or begins to leak. Aortic aneurysm causes and risk factors include smoking, high blood pressure, age, and family history.

At Vascular Associates of WNY, we offer advanced diagnostic tools and expertise in treating both abdominal and thoracic (chest) aortic aneurysms. Aortic aneurysm surgery options may include:

  • Endovascular Aneurysm Repair (EVAR): This minimally invasive approach involves placing a stent graft within the aneurysm to reinforce the weakened vessel walls and prevent rupture.
  • Open Aneurysm Repair: For more complex cases or when an EVAR is not possible, open surgery may be necessary to repair or replace the damaged section of the aorta.

Frequently Asked Questions

What are the typical symptoms of an aortic aneurysm?

Aortic aneurysm symptoms can be subtle; many individuals may not experience noticeable signs until a serious complication occurs. When symptoms are present, they might include a pulsating sensation in the abdomen, severe back pain, or sudden, intense chest pain. However, symptoms can vary significantly, and anyone suspecting they might have an aortic aneurysm should seek immediate medical evaluation for a proper diagnosis.

What options are available for abdominal aortic aneurysm treatment?

When it comes to AAA treatment, our approach is tailored to the patient's specific circumstances. If an aneurysm is small, our doctors may recommend regular monitoring with imaging tests, like an abdominal aorta ultrasound, to track its size and progression. If an aneurysm enlarges or presents symptoms, treatment options may include endovascular aneurysm repair (EVAR), which is minimally invasive, or open surgery for more complex cases.

How can someone monitor their risk for developing an aortic disease?

Monitoring for aortic diseases primarily involves regular health screenings and proactively managing risk factors. Patients at higher risk, such as those with hypertension or a family history of aortic conditions, should have regular consultations with healthcare providers. Techniques such as blood pressure checks, cholesterol level assessments, and imaging tests can help gauge the status of the aorta. Additionally, leading a heart-healthy lifestyle, including routine exercise, a balanced diet, and avoiding smoking, plays a vital role in reducing overall risk.

How can I schedule an appointment at Vascular Associates of WNY?

Scheduling an appointment at a Vascular Associates of WNY office is easy! In addition to calling your nearest location, we also provide a user-friendly online booking system that allows you to select a convenient time for your visit. Don't hesitate to take the first step—request your appointment today!

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