The Aortic Center

The Vascular Institute of New York Approach

The Vascular Institute of New York medical team cares for patients with conditions of the thoracic aorta, (including acute and chronic aortic dissections, thoracic and thoracoabdominal aortic aneurysms, Marfan syndrome and coarctation of the aorta).

Our state-of-the-art technologies are the key to making a diagnosis plus a well-rounded and best treatment plan.  Patients are evaluated by the patient’s history including whether the patient has a prior history of cardiovascular disease and hypertension as well as the history of the aortic condition itself.  Patients are requested to bring any previous studies and if necessary, additional diagnostic tests will be ordered.  

Once all of the diagnostic data is collected, our team will recommend various treatments and management.

The Vascular Institute Aortic Center physician will determine whether an operation is needed to treat your aneurysm.  Some procedures may include the following:

  • Ascending aneurysm repair with an interposition tube graft
  • Aortic valve-preserving aneurysm repair
  • Composite aortic root replacement
  • Aortic arch surgery
  • Thoracoabdominal aneurysm repair
  • Stent graft/minimally invasive endovascular surgery

Your medical evaluation may include:

  • A general cardiac assessment
  • Determination of whether or not an intervention is necessary
  • If intervention is indicated, the best procedure that is most appropriate for the patient’s condition will be thoroughly explained

One or more imaging techniques to fully reveal the aortic anatomy may be suggested and may include:

  • CT scans (computed tomography)
  • MRI (magnetic resonance imaging)
  • MRA (magnetic resonance angiography)
  • Contrast angiography
  • Transesophageal echocardiography (TEE)

In addition to standard therapies, a number of innovative strategies for managing thoracic aortic diseases may be suggested including:

  • Minimally invasive stent-grafts for selected descending thoracic aortic aneurysms
  • Stent-grafting of selected type B aortic dissections
  • Valve-preserving operations for aortic root aneurysms
  • Repair of extensive thoracoabdominal aneurysms
  • Multi-modality imaging of a variety of complex thoracic aortic conditions

Surgical repair of thoracic aortic aneurysms will be performed when your aneurysm is large enough in size to carry a significant risk of rupture or dissection, or when aneurysms cause symptoms. Aneurysms of smaller size are usually managed medically with blood pressure control and periodic follow-up imaging.

Your Part in Managing Thoracic Aortic Disease

If you are diagnosed with thoracic aortic disease and follow our recommended lifelong management plan, you can expect to lead a relatively normal life. We recommend that patients purchase an automatic blood pressure cuff to use at home and on a regular basis and monitoring it on a daily basis.  And if your blood pressure increases, contact the Vascular Institute of New York Aortic Center for evaluation. 
The Vascular Institute of New York follows patients after initial diagnosis and treatment to ensure that the patients and their doctors are doing everything possible to manage their aortic disease.  Your primary doctor will be kept well informed of your condition.

 



Vascular Institute Of New York... 960 50th Street, Brooklyn, NY 11219...... Call: 718-438-3800