Aneurysms

Aortic Disease Treatments in New Jersey

Our Vascular Surgeons Provide Expert Care and Treatment Plan for Aortic Diseases and Aneurysms. Call (973) 540-9700. We Are Open 5 Days a Week. Monday-Friday 8am-5pm.

At Advanced Vascular Associates, we take a team approach to your care, considering your unique needs and preferences to develop a treatment plan that is right for you. At Advanced Vascular Associates, we believe that you are at the center of your care team, and we work with you so that you fully understand your condition and the treatment recommendations, and feel confident about your care. We provide the full range of diagnostic and treatment services for aortic diseases, including abdominal aortic aneurysms, thoracic aortic aneurysms, and aortic dissection. These include the latest imaging, open surgical and minimally invasive treatments. When appropriate, we recommend minimally invasive treatments, which use smaller incisions and result in less trauma, blood loss, and pain; fewer complications; a shorter hospital stay; and faster recovery times. We also offer complex open surgical procedures for patients that can only be treated operatively.

What Are Aortic Disorders?

The aorta is the largest blood vessel and it is responsible for transporting blood from the heart to arteries that branch from it and lead to the rest of the body. The aorta has three sections, the ascending aorta, which runs up from the heart, the thoracic aorta, which runs through your chest, and the abdominal aorta, which runs through your midsection before it branches into the iliac arteries. Although aortic disorders are on the whole uncommon, two of the most common aortic diseases are aortic aneurysms and aortic dissection.

An aneurysm is a weakened, bulging area of an artery. Abdominal aortic aneurysms (AAAs) and thoracic aneurysms (TAAs) occur in different parts of the aorta. The most significant danger with an aortic aneurysm is that it will burst, or rupture. The aorta has three layers, an inner layer, a middle layer, and an outer layer. The pressure of the blood traveling through the aneurysm causes the inner lining to tear, and as blood flows into the middle layer, it causes the inner and middle layers to separate (dissect). The condition is most dangerous if the blood flow causes the outer layer of the aorta to rupture. Because of the amount of blood loss that occurs, aortic rupture and aortic dissection can be life-threatening situations that require urgent treatment.

Treatments for AAA and TAA

The treatment recommendation your doctor will make depends on the size of the aneurysm and how fast or slowly it is growing. For smaller, slower-growing aneurysms, your doctor may recommend medication to control blood pressure as well as closely monitoring the aneurysm’s size. With this type of monitoring you will undergo regularly scheduled medical imaging tests, such as ultrasound or CTA, to track the aneurysm’s size. If and when the aneurysm grows large enough to require treatment, your vascular surgeon may recommend surgical or minimally invasive treatment of the aneurysm.

Surgical Aneurysm Repair

Surgical repair of an aortic aneurysm is an open procedure performed under general anesthesia for patients with complex anatomy. It involves removing or bypassing the section of the aorta that has been affected by the aneurysm. After gaining access to the aorta, the surgeon removes the weakened portion of the aorta, and then attaches a synthetic tube (called a graft) above and below the aneurysm.

Minimally Invasive Aneurysm Repair

To avoid the large incision and extended recovery time involved in surgical aneurysm repair, surgeons developed endovascular aneurysm repair, which is minimally invasive. In endovascular repair, the surgeon makes a small incision in arteries located in your groin, and then advances a catheter (a thin, flexible tube) through the blood vessels to the location of the aneurysm. The catheter holds a synthetic tube called an endograft, which the surgeon attaches to the inner artery wall. The endograft forms a kind of tunnel through which blood flows, relieving the pressure on the weakened portion of the aorta.

Treatments for Aortic Dissection

Treatment for aortic dissection includes controlling and repairing the tear, if necessary. Your doctor’s treatment recommendations will depend on the type of dissection and its location, but can include medication or surgery. Surgery is necessary if the dissection has taken place near where the aorta leaves the heart (called a type A dissection). During surgery, the surgeon removes the dissected portion of the aorta and connects a synthetic tube, called a graft, to take the place of the dissected portion of the aorta. If the dissection has taken place in the descending aorta (type B dissection), your doctor may recommend managing it with medications used to control high blood pressure as well as monitoring the condition. If the dissection worsens, your doctor may recommend surgery.

ADDITIONAL SERVICES YOU MAY NEED

Morristown

 131 Madison Ave. 2nd Floor
 Morristown, NJ 07960
 (973) 540-9700

Sparta

  89 Sparta Ave. Suite 270
 Sparta, NJ 07871
 (973) 540-9700
 

Pompton Plains

242 West Parkway
Pompton Plains, NJ 07444
(973) 540-9700

Teaneck

1086 Teaneck Road, Suite 4F1
Teaneck, NJ 07666
(201) 265-5300

Office Hours

Monday:

8:00 am-5:00 pm

Tuesday:

8:00 am-5:00 pm

Wednesday:

8:00 am-5:00 pm

Thursday:

8:00 am-5:00 pm

Friday:

8:00 am-5:00 pm

Saturday:

Closed

Sunday:

Closed

  • "One of the most professional and accommodating office and doctors I have been to in a very long time. I saw Dr. Lee and found him to be very kind and knowledgeable. He diagnosed a blood clot, got me started on a blood thinner and I feel better than I have in months. Thank you, thank you, thank you!"
    Barbara B.
  • "Best vascular surgeons around Dr. Patel is the best"
    Cookie R.
  • "Dr.Lee is thee BEST Vascular Surgeon I EVER had in 42yrs! He is kind, compassionate, funny, and super honest! I really need the super honest part as his patient because I have been on dialysis for almost 20yrs time around and then dealing with end-stage renal failure since I was 13 and I was born with circle kidney so I need someone who is going to be upfront and honest with me and compassion at the same time and he is the ONLY surgeon to get three fistulas working on me! No one in 42 years has ever done that! He is the best surgeon I have ever had! Omg... and his staff is phenomenal !"
    Mercedes R.
  • "Dr. Patel placed my fistula in july of 2014 and I have had most of my maintenance fistulagrams done by Dr Raiz. Though whoever i have had have been great.The entire staff is wonderful . They are compassionate caring and professional. Would not go anywhere else."
    Sherry S.
  • "Dr Riaz, Dr Lee, and the entire Medical Staff at Advanced Vascular Associates are one of the most professional, knowledgeable, courteous, and caring Medical Teams that I've ever visited in my life! I have the greatest amount of respect for them, and trust that whatever the purpose of your visit is, you will leave knowing that you've been treated by the best! Thanks for taking good care of me (especially Rose)."
    Bruce B.
  • "My Dad had surgery for a AAA a year ago! He is 91 years young! Dr. Lee brings so much to the Operating Table!I have never been put more at ease than by Dr Lee. His reassurance and soft-spoken confidence made me rest easily during the Procedure. What a great Man!"
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  • "My first time there. Everyone was very nice and Dr. Patel was awesome! Would recommend to everyone."
    Helen A.
  • "Caring and professional nurses and staff. And special thanks to Dr. David Cohen. His expertise and compassionate level of treatment is beyond comparison."
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  • "The advanced vein care center headed by Dr. Cohen, my physician, is a superior center with caring hands. Each and every visit has been a comfort to me."
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