How We Treat Aortic Aneurysms

At NewYork-Presbyterian, we have extraordinary skill and expertise in the evaluation and repair of aortic aneurysms. We are leaders in the care of people with:

  • Thoracic aortic aneurysms (bulges in the part of the aorta in the chest)
  • Thoracoabdominal aortic aneurysms (those extending from the chest to the abdomen)
  • Abdominal aortic aneurysms (those occurring in the part of the aorta in the abdomen)
  • Aortic dissection (a tear in the aorta)

Your treatment depends on the size and location of your aneurysm.


If your aortic aneurysm is asymptomatic and small, treatment may not be necessary, but careful follow-up and monitoring are critical. We offer monitoring programs and non-invasive imaging for patients to follow aneurysms and to detect important changes so that aneurysms can be repaired before they rupture.


For patients who need treatment of their aortic aneurysm, we also provide expert evaluation to determine the best treatment option. You may have one of these operations:

  • Minimally invasive or “endovascular” treatment. Our doctors are experts in endovascular stent grafting, a minimally invasive technique for treating aortic aneurysms and dissections. In these procedures, a stent graft, which is essentially a new tube, is threaded into your aorta from a blood vessel in your groin. The stent graft relines the diseased part of the aorta to repair the aortic wall and to prevent rupture of the aneurysm. By avoiding surgical incision in the chest or abdomen, these procedures may be safer and allow for more rapid recovery. Because of our extensive experience in this area, we are one of the few centers in the country offering endovascular stent repairs of complex aortic aneurysms like thoracoabdominal aortic aneurysms.
  • Open surgery. Your surgeon may decide that you are best treated with an open surgical procedure in which the damaged part of your aorta is replaced with a plastic or fabric graft.
  • "Hybrid" surgery. Some patients are best treated with the hybrid procedure, which is a combination of both open surgical and endovascular techniques. As an example, our surgeons developed a new procedure to rebuild the aortic arch which allows for a less invasive means of replacing the entire thoracic aorta. Instead of two separate major operations, the entire rebuilding is accomplished with a combination of open-heart surgery and hybrid stent grafting. This allows our aortic specialists to complete the aneurysm repair during a single hospital stay.