Often during the postsurgical recovery period, patients experience back pain and discomfort. They avoid physical activity when it would be very beneficial for them. They often tend to walk less and gain weight, and their blood pressure becomes difficult to manage. These factors contribute to mental depression. The hallmark of postsurgical rehabilitation for aortic aneurysm patients is good pain management coupled with appropriate physical activity. Weight reduction and improved nutritional status are very important. A diet low in fat and carbohydrates and high in fiber and protein is recommended.
A rigorous, scientific approach to blood pressure management is important for these patients. Home monitoring with a blood pressure machine equipped with an arm cuff is recommended. This device should be calibrated to ensure accuracy. Daily blood pressure readings are used to adjust the regimen of blood pressure medications, which may include beta blockers, ACE inhibitors and calcium channel blockers, maintaining the systolic pressure within a range of 105 to 115 for normal activity.
Future generation transcatheter (endovascular) therapies.
Cedars-Sinai Medical Center is one of the top three institutions in North America in regard transcatheter therapies. Cedars-Sinai has the highest number of minimal-invasive transcatheter (endovascular) aortic and mitral valve replacement/repairs. This is performed as part of an investigational trial with very promising results. Furthermore, newer generation stent grafts for various aortic pathologies are available to aortic specialists within the Aortic Program. These stent grafts allow treatment of patients that may not be candidates at most other hospitals.