Dr. Raja Sekhara specializes in treating and managing all kinds of cardiac, thoracic, and vascular problems. He follows a multidisciplinary approach and treats patients with heart-related ailments, followed by comprehensive and personalized care. He prepares a treatment plan depending on the patient’s condition and treats him accordingly. He assists the patients with the appropriate treatment options and monitor them at each and every level of treatment.
He provides the treatment using the latest technology and new techniques prevailing in the medical field. Some of the cardiothoracic procedures performed by him include Transcatheter Aortic Valve Replacement (TAVR), Minimally Invasive Heart Valve Surgery, Aortic Surgery, Off-Pump CABG, Coronary Artery Bypass Grafting (CABG), Aortic Valve Replacement, and many more.
Overview of Aortic Aneurysms & Dissection surgeries
Aorta is the largest artery which supplies blood to the entire body through branches of the arteries. It originates at the top of the left ventricle and extends down to the abdomen. Any disease or damage to the aorta leads to decreased blood flow to the other body parts. The abnormal narrowing and swelling of the arteries result in aortic conditions such as aortic aneurysm and aortic dissection.
An aortic aneurysm is an abnormal bulging of the aorta. The aorta bulges or gets enlarged when the blood vessels become weakened or expand. The bulge can occur in any artery, but aneurysms are dangerous as they lead to massive internal bleeding and severe pain. Having aortic aneurysm increases your risk of having an aortic dissection.
An aortic aneurysm is of two types, which include abdominal aortic aneurysm, and thoracic aortic aneurysm. An abdominal aortic aneurysm occurs when the aorta that passes through the abdomen bulges, and thoracic aortic aneurysm occurs when the aorta is passing through the chest cavity.
Aortic dissection occurs when there is a tear in the aorta. In this condition, the inner and middle layers of the aorta get separated or dissected. It becomes life-threatening when blood bursts through the outer wall of your aorta. The severe complications arise when the dissection ruptures and sends blood into the space around the heart or lungs.
Symptoms of An Aortic Aneurysm And Aortic Dissection:
The signs and symptoms of aortic aneurysm and aortic dissection include:
Symptoms of Aortic Aneurysm
- Chest pain and back pain
- Unusual sensation in the upper chest or back
- Strong pulse in the abdomen
- Feeling of fullness after minimal meals
- Nausea and vomiting
- Numbness or tingling
- Loss of consciousness (fainting)
- Weakness and shortness of breath
Symptoms of Aortic Dissection
- Paralysis on one side of the body
- Weaker pulse in one arm
- Dizziness or confusion
- Trouble speaking
Causes of Aortic Aneurysms And Aortic Dissection:
The causes of aortic aneurysm and aortic dissection include:
Causes of Aortic Aneurysm
- High blood pressure
- Uncontrolled diabetes
- Cystic medial necrosis
- Mycotic aneurysm
- Inflammatory aneurysm
- Any injury to the chest or abdomen
- Family history of aortic aneurysm
- Hardening of the arteries
Causes of Aortic Dissection:
- Blunt trauma to the chest
- High blood pressure
- Bicuspid aortic valve
- Heart surgery or procedures
- Coarctation (narrowing) of the aorta
- Connective tissue disorders
- Swelling of the blood vessels
Diagnosis and Testing:
- Aortic angiography
- Chest x-ray
- Chest MRI
- CT scan of the chest with dye
- Doppler ultrasonography
- Transesophageal echocardiogram (TEE)
Aortic Aneurysms & Dissection Surgeries – Procedure Details
Open Abdominal or Open Chest Repair: It is a form of aortic aneurysms and dissection repair in which the weekend aorta is replaced with a tube or graft. In this procedure, you will be given anaesthesia, and an incision will be made either in your belly or chest, depending on the type of aneurysm you have.
Now the blood flow is restricted below the aneurysms, and a heart-lung machine is connected to keep you breathing. The surgeon now removes the bulged out or enlarged aorta and replaces it with grafts. Once the grafts are placed, all the clamps with be removed allowing the blood to flow again.
Endovascular Repair: Endovascular repair is suggested when you couldn’t get open abdominal or open chest repair. During this repair, the surgeon will insert a stent-graft into the aorta using a catheter. The stent-graft supports the weakened aorta, but all aneurysms and dissections cannot be treated with this technique.
- State of the art-digital cath lab
- A high-tech 3D electroanatomical mapping system
- Well-equipped ICUs and OT
- Special clinics
- Intensive care units
- Advanced OT facilities
- Postoperative care unit with monitoring facilities
- Echo Lab with advanced non-invasive facilities
- Adult and Paediatric heart surgeries
Why Choose Dr. Rajasekhara For Aortic Aneurysms & Dissection Surgeries in Hyderabad?
- Aortic aneurysms & dissection surgeries from dynamic, skilled, and experienced surgeon
- A thorough assessment of the donor’s heart
- Presurgical optimization of overall health
- High-quality medical care
- State of the art operation theatres
- Use of latest technology and robust diagnostic support
Aortic Aneurysms & Dissection Surgeries FAQs
Am I A Candidate For Endovascular Repair?
To determine whether the endovascular repair is for you, Dr. Raja Sekhar will conduct a detailed health evaluation. He also considers several factors such as aortic anatomy, current health conditions, the severity of your condition, and risk factors.
Is Aortic Aneurysm Dangerous?
Yes, having aortic aneurysm increases your chance of having aortic dissections. The aortic dissection separates the inner and middle layers of the aorta, which leads to aortic rupture.
Is Aortic Dissection An Emergency?
Yes, surgery for aortic dissection should be done urgently, because the early mortality rate for aortic dissection is around 1% per hour.
Will Aortic Aneurysm Affect My Kidneys?
Aortic Aneurysm also results in blockages in the arteries to the kidneys. However, these blockages in the arteries to the kidneys are corrected during the aortic aneurysm surgeries. They will be an improvement in the overall functioning of the kidneys.
How Do I Prepare For The Surgery?
- Avoid smoking and consuming alcohol
- Have a walk for at least 30 minutes each day
- Maintain a record of your blood pressure readings
- Take all the prescribed medications regularly
Will My Aorta Burst While I'm Waiting?
Yes, but in rare instances. But the risk can be minimized by reducing the stress levels and blood pressure levels.
When Can I Drive Again?
You can drive after six weeks following the surgery.
What Is The Recovery Following The Procedure?
The recovery following the procedure will be around three months following the surgery. However, the recovery may vary depending upon the size of the operation.
What Are The Other Vascular Surgeries Performed By Dr. Raja Sekhara?
The other vascular surgeries performed by Dr. Raja Sekhara include:
- Peripheral Arterial Embolectomy
- Peripheral Arterial Aneurysm Surgeries
- Varicose Veins Surgery
How To Schedule An Appointment With Dr. Raja Sekhara?
To schedule an appointment with Dr. Raja Sekhara: