Kishiwada Tokushukai Hospital > Cardiovascular Surgery > Aortic Disease

Aortic Disease

What we do
Open surgical and endovascular aortic repair

Our focus
Procedure selection based on anatomy and patient condition

Emergency care
24/7 surgical readiness for acute aortic dissection

At our Cardiovascular Center, we provide comprehensive care for aortic disease, including aortic aneurysm and aortic dissection, using both open surgical and endovascular approaches based on each patient’s condition.

What it is

Aortic disease is broadly classified into two conditions:
aortic aneurysm, in which the aorta becomes abnormally dilated, and aortic dissection, in which a tear develops in the wall of the aorta.

Aortic aneurysm

Two main treatment options are available for aortic aneurysm:
open surgical repair and endovascular aortic repair (stent graft).

  • Open surgical repair:
    The affected segment of the aorta is replaced with an artificial graft through open chest or abdominal surgery. This approach is applicable to a wide range of aneurysms but is more invasive.
  • Endovascular repair (stent graft):
    A stent graft is delivered through a catheter, typically via a small incision in the groin, to reinforce the weakened aorta from within. Suitability depends on the aneurysm’s anatomy and location.

Treatment is selected based on aneurysm anatomy, location, and the patient’s overall condition.
Both approaches are performed within the same surgical team to ensure consistent decision-making.

Aortic dissection

For acute type A aortic dissection, we provide
immediate emergency surgical treatment.
Selected cases of acute type B dissection, particularly those with malperfusion,
also require urgent intervention.

  • Continuous readiness for emergency aortic surgery
  • Outcomes supported by extensive clinical experience
  • Use of endovascular repair in the subacute phase to reduce the risk of chronic complications

Long-term follow-up is essential.
We provide ongoing outpatient monitoring to support long-term stability after treatment.

Appointment

Appointments are required in principle. A referral letter from another medical institution is recommended but not mandatory.

For appointment requests and language support, please see the
Cardiovascular Center page.