Thoracic Aortic Endovascular Repair (TEVAR)

TEVAR is minimally invasive and is intended to repair the aorta — the largest blood vessel in the human body. It runs from the heart to the center of the chest and abdomen, so if it ruptures, the consequences can be deadly.

Diseases that damage the aorta include dissection, transection, aneurysm and stenosis. The success of this minimally-invasive treatment depends on the type of disease that injured the aorta. If the TEVAR is not recommended by your doctor, then another option is open repair.

How the TEVAR Procedure is Performed

A small incision or puncture is made in the groin and a catheter is sent up to the aorta to get an image, called an angiogram. To see the blood vessels clearly and locate the damaged part of the aorta, dye is also injected into the catheter. Once the damage is located and marked, a device is installed over the affected part of the aorta using a wire. Once the repair is made, the puncture or incision is closed. There may be some discomfort immediately following the procedure. 

What to Expect After the Procedure

Patients may return to a fully active life following the procedure. Our WakeMed vascular surgeon will want to see the patient annually to ensure the repair is still intact.