Medicover Hospitals, Hitech City, successfully performed a high-risk surgery on a 65-year-old Bangladeshi woman diagnosed with a giant abdominal aortic aneurysm (AAA) measuring 10.5 cm in diameter and 9 cm in length. The aneurysm extended from the renal arteries to the aortic bifurcation, making it one of the most challenging cases in recent years.

Abdominal aortic aneurysm, often called a “silent killer,” progresses without symptoms in many patients. Globally, it affects 4–8% of men over 60, while women have a lower prevalence of 1–2% but face higher risks of rupture and complications. In India, AAAs are often underdiagnosed, with nearly 60% detected incidentally. A ruptured aneurysm carries a mortality rate of 55–64%, underscoring the importance of routine screening, particularly for individuals with hypertension, atherosclerosis, smoking history, or a family history of aneurysms.

The patient presented with chest and abdominal discomfort. Investigations revealed severe calcification, adhesion of bowel loops to the aneurysm, and proximity to the renal arteries, increasing operative risks. Dr. Pramod and the cardiothoracic team used specialized perfusion techniques to maintain blood flow to the kidneys, intestines, and lower limbs while securing the aorta.

Despite the high risk of rupture during surgery, the team successfully completed the procedure. The patient recovered smoothly and was discharged five days later.

Dr. Pramod highlighted that patients undergoing emergency surgery for ruptured aneurysms have significantly lower survival rates compared to those treated electively. This case emphasizes the need for awareness, early detection, and monitoring of AAAs, while showcasing Medicover Hospitals’ expertise in managing complex cardiovascular conditions.