Aortic aneurysm detection & surgical repair Amritsar

Comprehensive guide to understanding, detecting and treating aortic aneurysms in Amritsar and Punjab — including screening, diagnosis, endovascular repair and open surgical options at Livasa Hospitals, Livasa Amritsar. For appointments call +91 80788 80788 or book online: Book an appointment.

What is an aortic aneurysm?

An aortic aneurysm is a focal enlargement or dilation of the aorta, the body's main blood vessel that carries blood from the heart to the rest of the body. Aneurysms may occur in the abdominal aorta (commonly called an abdominal aortic aneurysm or AAA) or the thoracic aorta (thoracic aortic aneurysm). Both types carry risk of rupture or dissection, which are life-threatening emergencies. In Amritsar and throughout Punjab, detection and treatment of aortic aneurysms have become more accessible with advanced imaging and hybrid vascular surgery programs.

Aneurysms develop when the wall of the aorta weakens and stretches. Small aneurysms may remain stable for years and produce no symptoms; large aneurysms or rapidly expanding lesions are at risk for complications. Important subtypes include fusiform (spindle-shaped) aneurysms and saccular (pouch-like) aneurysms. Aortic dissection, a related emergency, occurs when a tear forms in the inner lining of the aorta and blood splits the layers of the wall.

Globally, the prevalence of abdominal aortic aneurysm among older men ranges from about 1% to 8% depending on age and smoking history; prevalence increases with age. In India, population-based data are limited but tertiary centres in Punjab report increasing referrals for AAA and thoracic aortic aneurysm management as awareness and screening improve. Early detection through targeted screening and prompt referral to specialised centres such as Livasa Amritsar is critical to preventing rupture and reducing mortality.

What causes aortic aneurysms and who is at risk?

Aortic aneurysms have multiple causes and risk factors that interact. The most important and modifiable risks include smoking and high blood pressure (hypertension). Other major contributors include atherosclerosis (plaque build-up inside the vessel wall), chronic inflammation, and genetic or connective tissue disorders that weaken the aortic wall.

Key risk factors include:

• Age: Risk increases after age 60; most AAAs are diagnosed in older adults.
• Sex: Men are more frequently affected than women, though women face worse outcomes after rupture.
• Smoking: The single strongest modifiable risk factor; smokers have substantially higher risk.
• Hypertension: Long-standing high blood pressure accelerates wall stress and growth.
• Atherosclerosis: Plaque-related weakening of the aortic media.
• Genetic conditions: Marfan syndrome, Ehlers-Danlos vascular type, Loeys-Dietz syndrome, bicuspid aortic valve disease and family history of aortic aneurysm or dissection.
• Infections & inflammatory conditions: Rare causes include mycotic (infectious) aneurysms and large-vessel vasculitis.

In Punjab, rising prevalence of hypertension and diabetes, alongside tobacco use, contributes to the burden of aortic disease. Men with a significant smoking history aged 65 and older are priority candidates for screening. Family history is particularly important — if a first-degree relative has had an aortic aneurysm or dissection, early evaluation and genetic counselling at a specialised centre such as Livasa Hospitals aortic aneurysm centre Amritsar is advised.

What are the symptoms and signs to watch for?

Many aortic aneurysms are silent and found incidentally during imaging for other conditions. When symptoms occur, they depend on aneurysm size, location and whether complications such as rupture or dissection have started. Recognising warning signs quickly and seeking emergency care in Amritsar can save lives.

Common symptoms that may suggest an abdominal aortic aneurysm (AAA) include:

• Deep, constant abdominal or back pain—may radiate to the groin or buttocks.
• Pulsatile abdominal mass palpable in thin patients.
• Feeling of fullness or early satiety if the aneurysm presses on the stomach.

Thoracic aortic aneurysms (TAA) can present with:

• Chest, upper back or neck pain, sometimes described as sharp or tearing.
• Hoarseness due to recurrent laryngeal nerve involvement.
• Shortness of breath or difficulty swallowing if the aneurysm compresses adjacent structures.

Emergency signs of rupture or dissection include sudden severe chest or back pain, loss of consciousness, hypotension (low blood pressure), rapid heartbeat and signs of shock. Aortic dissection emergency Amritsar demands immediate transport to a centre capable of vascular and cardiothoracic intervention. At Livasa Amritsar we maintain protocols for urgent CT angiography and rapid transfer to hybrid operating theatres for life-saving treatment.

How are aortic aneurysms screened and diagnosed?

Accurate diagnosis of an aortic aneurysm begins with targeted clinical assessment and appropriate imaging. Screening strategies vary by risk profile: international guidelines recommend one-time ultrasound screening for men aged 65–75 who have ever smoked. In Punjab and Amritsar, local clinicians apply similar criteria while also considering family history, connective tissue disorders and other risk factors.

Diagnostic pathway typically includes:

• Abdominal ultrasound screening AAA Amritsar — First-line, non-invasive, low-cost, excellent for identifying and measuring abdominal aortic aneurysms and monitoring growth over time. Ideal for screening programs in community hospitals and outreach clinics.
• CT angiography aortic aneurysm Amritsar — Gold standard for planning interventions, offering precise measurements of aneurysm diameter, extent, involvement of branch vessels and presence of thrombus. Essential for EVAR planning and emergency evaluation of rupture or dissection.
• MR angiography — Alternative when iodinated contrast or radiation is a concern; useful in younger patients and follow-up in certain cases.
• Transesophageal echocardiography (TEE) — Valuable in thoracic aortic disease if immediate bedside evaluation is needed, especially in acute dissection.

At Livasa Amritsar our vascular team uses structured screening and diagnostic bundles: point-of-care ultrasound for screening at outreach camps, Doppler and formal abdominal ultrasound for initial diagnosis, followed by CT angiography for surgical planning. We emphasise high-quality imaging and multidisciplinary review involving vascular surgeons, interventional radiologists and cardiac anaesthesiologists to determine the safest, most effective treatment for each patient.

What treatment options are available and how do they compare?

Treatment for an aortic aneurysm depends on size, growth rate, symptoms, location and overall patient fitness. Options range from medical surveillance to urgent surgical repair. The two principal operative strategies are endovascular aneurysm repair (EVAR/TEVAR) and open surgical repair. Choice of therapy should be individualized with input from experienced vascular and cardiac surgeons.

Conservative management (for small, stable aneurysms) focuses on risk reduction and monitoring:

• Blood pressure control with beta-blockers, ACE inhibitors or ARBs as appropriate.
• Smoking cessation counselling and pharmacotherapy support.
• Cholesterol management and antiplatelet therapy for atherosclerotic disease.
• Regular imaging surveillance to detect expansion (>5mm/year or reaching threshold sizes typically 5.5 cm in men for AAA, lower in women or connective tissue disease patients).

When repair is indicated, compare options:

Clinical trials and registries show that EVAR has lower short-term mortality compared with open repair, but may require more long-term imaging follow-up and reinterventions due to endoleaks or device issues. Open repair has greater perioperative risk and longer recovery but fewer late reinterventions. For thoracic aneurysms, TEVAR (thoracic endovascular aortic repair) has become common when anatomy permits.

Endovascular repair versus open surgery: technical and outcome comparisons

Deciding between endovascular aneurysm repair (EVAR/TEVAR) and open aortic aneurysm repair requires a careful balance of anatomy, patient comorbidities and long-term expectations. Below is a focused comparison table showing practical differences that patients and families often ask about, including cost considerations available for Amritsar and Punjab. These are approximate ranges and actual costs depend on implants, device complexity, ICU needs and length of stay. Contact Livasa Amritsar for a personalised estimate.

These cost ranges are illustrative and subject to change. Device price, choice of stent-graft, length of ICU care, and pre-existing conditions influence final billing. Livasa Hospitals provides transparent financial counselling and works with major insurers to clarify coverage for AAA repair Punjab and EVAR Amritsar procedures. For precise estimates, please call +91 80788 80788 or use the online booking portal.

Patient journey at Livasa Amritsar: from detection to recovery

Livasa Hospitals aortic aneurysm centre Amritsar offers a patient-centred pathway designed to reduce time to diagnosis and provide tailored treatment. Whether you are seeking aortic aneurysm detection Amritsar or require complex aortic aneurysm surgery Amritsar, the care pathway includes multidisciplinary evaluation, advanced imaging, perioperative optimisation and coordinated follow-up.

Typical steps in the Livasa Amritsar pathway:

• Referral and initial assessment: Primary care or specialist referral results in an outpatient review including history, physical exam and baseline investigations.
• Imaging and planning: Abdominal ultrasound screening AAA Amritsar or CT angiography aortic aneurysm Amritsar is arranged promptly. Images are reviewed in a multidisciplinary meeting with vascular surgery, interventional radiology and anaesthesia.
• Risk optimisation: Hypertension control, smoking cessation support and cardiac assessment to reduce perioperative risk.
• Procedure: EVAR/TEVAR in the hybrid cath-lab or open aortic aneurysm repair in dedicated operating theatres.
• Postoperative care: ICU monitoring when required, early mobilisation, pain management and discharge planning.
• Follow-up: Structured surveillance with duplex ultrasound or CT as recommended — aortic aneurysm follow up Amritsar protocols are personalised to the repair type.

Livasa Amritsar emphasises clear communication with patients and families throughout the journey. Our vascular surgeons are recognised among the best vascular surgeon Punjab and work with a dedicated team to ensure safe outcomes. Emergency aortic aneurysm care Amritsar is available with protocols for rapid imaging, blood management and urgent intervention for rupture or dissection.

Recovery, follow-up and lifestyle after aneurysm repair

Recovery after aneurysm repair depends on the procedure performed and patient factors. Endovascular procedures typically allow quicker return to daily activities, while open repair often requires longer rehabilitation. Regardless of technique, follow-up and lifestyle modification are central to long-term success.

Typical recovery milestones:

• Immediate postoperative period: Monitoring for bleeding, infection, kidney function and limb perfusion. EVAR patients often move from ICU to ward within 24–48 hours.
• First 2–6 weeks: Gradual increase in activity, wound care, and review of medications. Avoid heavy lifting for open repair until cleared by your surgeon.
• 3 months onward: Most patients return to normal activities; exercise prescriptions and cardiac risk reduction are emphasised.
• Lifelong surveillance: EVAR requires scheduled imaging (duplex/CT) at regular intervals to detect endoleaks or graft issues. Open repair requires less frequent but still regular imaging.

Lifestyle measures that reduce future cardiovascular risk include strict blood pressure control, smoking cessation (critical), statin therapy for atherosclerotic disease, diabetes control, and a heart-healthy diet. In Amritsar and across Punjab, Livasa Hospitals offers smoking cessation programmes, cardiac rehabilitation and nutrition counselling to support recovery and reduce the risk of new vascular disease.

Costs, insurance and frequently asked questions

Cost is an important consideration for patients in Amritsar and Punjab. Estimated costs for aortic aneurysm repair vary by technique, device use, ICU needs and comorbidities. The following table summarises approximate costs seen at tertiary centres in the region — these are indicative ranges to aid planning. For an accurate quote please contact Livasa Amritsar billing and insurance services.

Insurance: Many public and private insurers in India offer coverage for aortic aneurysm repair when pre-authorised. Livasa Hospitals billing team assists with claim pre-authorisation and provides cashless facility guidance. Patients are encouraged to bring insurance documents to preoperative appointments and discuss payment plans if needed.

Frequently asked questions:

• What size of aneurysm requires repair? Generally, AAA >5.5 cm in men, >5.0 cm in women or rapidly expanding aneurysms (>5 mm/year) are considered for repair; thresholds are lower for connective tissue disease or special circumstances.
• What is EVAR cost Amritsar? Refer to the cost table above; Livasa Amritsar provides personalised estimates after assessment.
• Is screening available? Yes — abdominal ultrasound screening AAA Amritsar is available for eligible patients and outreach programmes are conducted to identify at-risk individuals early.

Conclusion and how to get help in Amritsar

Aortic aneurysms are serious but treatable conditions when detected early. Whether you require screening, urgent intervention for aneurysm rupture or dissection, or elective repair with EVAR or open surgery, timely evaluation by experienced teams improves outcomes. In Amritsar and across Punjab, Livasa Hospitals offers multidisciplinary care for aortic aneurysm detection and surgical repair Punjab — combining advanced imaging, experienced vascular and cardiac surgeons and a patient-focused pathway.

If you have risk factors — age over 65 with smoking history, family history of aortic disease, connective tissue disorder or unexplained persistent back/abdominal/chest pain — consider discussing screening with your clinician. For appointments or questions about AAA repair Amritsar, endovascular aneurysm repair Amritsar, aortic dissection emergency Amritsar or second opinions for complex aortic disease, contact Livasa Amritsar:

Early detection saves lives. If you are in Amritsar, Jalandhar, Tarn Taran, or nearby districts in Punjab and concerned about aortic aneurysm symptoms Amritsar or want to know about screening programs, reach out to Livasa Hospitals — our team will guide you through the diagnostic tests, treatment options (EVAR Amritsar, open aortic aneurysm repair Amritsar) and recovery planning with compassion and clarity.

Take the next step

For an expert opinion on aortic aneurysm detection and surgical repair Punjab, call +91 80788 80788 or book an appointment online. Livasa Amritsar provides prompt imaging, specialist consultation and a multidisciplinary plan tailored to your needs.

Important: If you or a loved one experiences sudden severe chest, back or abdominal pain with lightheadedness, call emergency services immediately — these could be signs of aortic rupture or dissection requiring urgent care.