Heart - Cardiology & Cardiovascular Surgery

Aortic Surgery

At Mount Sinai Fuster Heart Hospital, when we are deciding whether or not to treat your aortic aneurysm with surgery, we look at many factors including your age and overall health, as well as the aneurysm, its rate of growth, and any symptoms you may be experiencing. We perform surgery when the chances of rupture exceed the risks of the procedure, or if you are experiencing pain or other symptoms of compromised blood flow. We may advise early intervention, potentially including surgery, if you have an aneurysm of the ascending aortaor aortic root.

Our cardiac surgeons have extensive experience repairing aortic aneurysms, with outstanding results and very low complication rates. With our seasoned team of surgeons, perfusionists, anesthesiologists, and nurses, we provide all the elements needed to safely treat and care for patients with aortic aneurysms.

We often perform aortic surgery using a stent graft, which is a fabric tube with metal wire supports. This allows us to reinforce your aorta wall and prevent the damaged area from rupturing. We make a small incision in your groin and use a catheter to guide an endovascular stent graft through your blood vessels to the site of the aneurysm. The most common surgical procedures are:

  • Aortic Root Replacement, also called a modified Bentall procedure, is what we typically use to treat aneurysmal disease of the aortic root, aortic root abscess, and acute and chronic aortic dissections. At Mount Sinai Fuster Heart Hospital, we use mechanical or bioprosthetic (made of bovine or porcine material) valve conduits, which are particularly long-lasting).
  • Aortic Arch Replacement, also known as a trifurcated graft technique or elephant trunk stage I, is appropriate if you have aneurysmal disease of the aortic arch, mycotic (infected) aneurysm, chronic atheroembolism, or chronic aortic dissection.
  • Distal Aortic Arch and/or Descending Aorta Replacement (elephant trunk stage II) is effectivefor aneurysmal disease of the descending aorta, chronic aortic dissection, coarctation, and hypoplasia.
  • Thoracoabdominal Aorta Replacement is a procedure commonly performed for aneurysmal disease of the descending aorta, and chronic aortic dissection.
  • Valve-Sparing Aortic Root Replacement (David or Yacoub procedure) is effective in treating aneurysmal disease of the ascending and aortic root, acute and chronic aortic dissections, bicuspid aortic valve disease, and Marfan’s disease. This procedure allows us to conserve the native aortic valve and avoid anticoagulation issues.
  • Descending Aorta Replacement is an effective treatment for aneurysmal disease of the descending aorta, chronic aortic dissection, coarctation, and hypoplasia. We use endovascular stenting on aneurysmal disease of the aorta.

Frequently Asked Questions about Aortic Surgery

Before you undergo aortic surgery, it is important to understand the purpose of the procedure and when it is necessary. The following are some frequently asked questions about aortic surgery.