Afyonkarahisar Health Sciences University Cardiovascular Surgery Clinic has become an effective center in the region for closed angiographic procedures as well as open surgery operations, thanks to its strengthened academic staff and the opportunities provided by AHSU Rectorate.
In our Cardiovascular Surgery Clinic, two intraabdominal aortic ballooning, one of which was urgent due to a rupture, and many large vascular occlusions were treated closed with angiographic methods without the need for open surgical intervention.
Dean of the Faculty of Medicine of AHSU, Head of the Department of Cardiovascular Surgery Prof. Dr. Necip Becit made the following statements about the surgeries performed in his clinics recently: “A stent was placed in the patient who applied to our clinic for angiographic procedures due to occlusion in the vessel feeding the left arm, and blood supply to the arm was provided.Since the nutrition of the arm was provided by the vein that feeds the brain before, the patient’s brain nutrition has also returned to normal thanks to the procedure we have done. Thus, the patient’s complaints of headache and dizziness were also treated.
Our second patient, who came to our clinic, had a serious risk of life because of a rupture in the aorta which is the main vessel in the abdomen. An artificial vein was placed into the angiographically ruptured vein with a closed method and our patient was discharged on the second day after the procedure.
Another patient had leg pain as a result of the obstruction of the stent placed in the outer center of the main vein that runs in the abdomen and carries blood to the right leg.
The complaints of our patient, who had a full opening of the vessel with angiographic closed procedure, were resolved and she was discharged the next day.
Attention to Calcification, High Blood Pressure, Smoking and Family Diseases
The aortic vein is the largest vein of the body that distributes the cleansed blood which is taken from the heart to the whole body and branches out just like the main trunk of a tree. This vein descends from the abdomen to the legs in order to deliver blood to the legs.
As a result of the pressure exerted by the blood on the vascular wall that is weakened due to aging of the vascular wall, calcification in the vascular wall, high blood pressure, smoking, familial diseases, the aortic part that travels in the abdomen may balloon.
The ballooning vein may continue to dilate or rupture in a weak location. In case of rupture, the patient experiences a very severe pain and although a serious life-threatening situation occurs, the enlarged vein usually does not cause any complaints.
“Ballooning of the aortic vessel can be treated with open and closed surgical methods.”
It is likely that the ballooning vessel will compress the surrounding organs over time.
Pain on the legs and back, indigestion, abdominal pain, or mass in the abdomen with a heartbeat can be found.
Ballooning of the aortic vessel in the abdomen, which is detected incidentally during examinations for the diagnosis of other diseases, can be treated with open and closed surgical methods.
In open surgical methods, the abdominal and groin area is opened completely and bypass is made with artificial veins between the aortic vein and leg veins.
This situation, in which patient comfort is severely impaired, is quite risky compared to closed methods (angiographic). In closed methods, by means of small incisions made in the groin, a stent is placed in the aorta accompanied by angio and this ballooning is closed.
Patient comfort deteriorates and the patient returns to her daily routine within two days, and treatment of this disease can be provided with much less risk than open surgery.
In Afyonkarahisar Health Sciences University Cardiovascular Surgery Clinic, even patients who have a rupture in the ballooning vein in the abdomen and have a high risk of life are treated angiographically with closed method and our patients are served with these procedures.