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Aortic Aneurysms: Recognizing Symptoms, Risk Factors & Surgical Repair

The aorta is the body's main artery supplying oxygen-rich blood to all vital organs. An aneurysm is a balloon-like bulge that, if left untreated, can rupture or dissect with life-threatening consequences.

Dr. Kumar Aditya (MCh CTVS)
6 min read
April 2026
Aortic Aneurysms: Recognizing Symptoms, Risk Factors & Surgical Repair

Why Aortic Aneurysms are Known as Silent Threats

Most thoracic aortic aneurysms develop slowly without noticeable symptoms until they reach a critical diameter. When symptoms do occur, they may include deep chest or back pain, hoarseness of voice, difficulty swallowing, or shortness of breath.

Surgical Indication & Bentall Procedure

Elective surgical repair is indicated when the ascending aorta exceeds 5.0 to 5.5 cm in diameter, or grows faster than 0.5 cm per year. In patients with aortic root enlargement and diseased aortic valves, the **Bentall Procedure** replaces the aortic valve, aortic root, and ascending aorta with a composite graft while re-implanting coronary arteries.

Surgeon's Clinical Takeaway

"Strict blood pressure control and routine echocardiographic or CT surveillance are essential for anyone with a family history of aortic disease or bicuspid aortic valves."

— Dr. Kumar Aditya, MBBS, MS, MCh CTVS (GIPMER Delhi)

Clinical Notice: This article is published for educational guidance only and does not substitute professional in-person cardiac examination. Consult Dr. Aditya for individual treatment plans.

Direct Consultation

Need Advice On This Condition?

Book an OPD appointment with Dr. Kumar Aditya for evaluation or a surgical second opinion.

OPD Clinic: Lifecare Clinic, Patna

Hospital: Assistant Director CTVS, IGIC

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