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Abdominal Aortic Aneurysm (AAA) Treatment in Dubai

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Introduction

The aorta is the body’s largest artery, carrying blood from the heart to all vital organs. In some people, the wall of the aorta becomes weak and bulges outward like a balloon. This is called an abdominal aortic aneurysm (AAA) when it occurs in the abdomen.

While small aneurysms may remain silent, larger ones can rupture suddenly — a life-threatening emergency. Detecting and treating AAAs early is critical.

At www.vascularsurgery.ae, Dr. Soroush Sohrabi, UK-trained Consultant Vascular & Endovascular Surgeon, provides expert diagnosis and treatment for abdominal aortic aneurysms in Dubai. With advanced training in the UK, Australia, and the US, he offers patients both open surgical repair and minimally invasive endovascular aneurysm repair (EVAR), tailored to each individual’s condition.

What Is an Abdominal Aortic Aneurysm?

An abdominal aortic aneurysm is a dilation (widening) of the aorta greater than 3 cm in diameter. Over time, the aneurysm can enlarge and the risk of rupture increases.

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Key facts about AAA:

  • Most are asymptomatic until they rupture.

  • AAAs are more common in men over 60, smokers, and those with high blood pressure.

  • Family history increases risk significantly.

  • A ruptured AAA carries a very high mortality rate if not treated immediately.

Causes and Risk Factors

The exact cause of AAA is not always clear, but several risk factors are known:

  • Atherosclerosis (hardening of arteries) – weakens the vessel wall.

  • Smoking – the strongest modifiable risk factor.

  • High blood pressure – adds stress to the arterial wall.

  • Family history – genetics play a role.

  • Age and gender – more common in men over 60.

  • Other vascular conditions – such as peripheral artery disease or carotid artery disease.

Symptoms of Abdominal Aortic Aneurysm

Most AAAs cause no symptoms and are found by chance during ultrasound or CT scans.

When symptoms do occur, they may include:

  • A pulsating sensation in the abdomen.

  • Constant abdominal, flank, or back pain.

  • Sudden severe pain, dizziness, or collapse (suggesting rupture — a medical emergency).

Why Early Detection Matters

Because most AAAs are silent, screening is vital for those at risk. In many countries, men over 65 are offered an abdominal ultrasound to check for aneurysms.

In Dubai, patients with smoking history, high blood pressure, or family history should ask their doctor about aneurysm screening.

Diagnosis

At your consultation, Dr. Soroush Sohrabi will assess your risk and arrange appropriate imaging tests, which may include:

  • Ultrasound scan – simple, painless, and highly accurate for measuring aneurysm size.

  • CT angiography – provides detailed images of the aneurysm, surrounding arteries, and organs.

  • MRI – occasionally used if more detail is required.

These investigations help determine the size, shape, and growth rate of the aneurysm, which guide treatment decisions.

Treatment Options for Abdominal Aortic Aneurysm in Dubai

1. Watchful Waiting (Surveillance)

  • For small aneurysms (<5.5 cm in men, <5.0 cm in women).

  • Regular ultrasound or CT scans every 6–12 months.

  • Risk factor modification (quit smoking, control blood pressure, manage cholesterol).

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2. Open Surgical Repair

  • Traditional operation through an abdominal incision.

  • The weakened section of aorta is replaced with a durable synthetic graft.

  • Very effective, but involves longer recovery.

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3. Endovascular Aneurysm Repair (EVAR)

  • Minimally invasive approach, performed through small groin incisions.

  • A stent-graft is placed inside the aneurysm to reinforce the wall.

  • Faster recovery, shorter hospital stay, less blood loss.

  • Requires lifelong imaging follow-up to ensure the graft remains secure.

Which Treatment Is Right for You?

The choice between open surgery and EVAR depends on:

  • Size and shape of the aneurysm.

  • Patient’s age and overall health.

  • Suitability of arteries for endovascular repair.

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Dr. Soroush Sohrabi discusses each option with his patients, helping them make informed decisions. His goal is to provide the safest, most durable treatment with the least impact on quality of life.

Recovery and Follow-Up

  • Open repair: Hospital stay 5–10 days, recovery 6–12 weeks.

  • EVAR: Hospital stay 2–3 days, recovery 2–3 weeks.

  • Lifelong monitoring: Regular scans are essential, particularly after EVAR.

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Lifestyle measures such as quitting smoking, controlling blood pressure, and maintaining a healthy weight remain critical after surgery.

FAQs for Varicose Veins Treatment in Dubai

  • Varicose veins are usually not life-threatening, but they can cause discomfort, swelling, and aching. If left untreated, in some cases lead to complications such as blood clots (superficial thrombophlebitis), skin changes, or venous ulcers. Dr. Soroush Sohrabi recommends early evaluation to prevent potential long-term issues.

  • No, varicose veins typically do not resolve without treatment. While lifestyle changes may relieve symptoms or slow the progression, medical intervention is often required for both aesthetic improvement and vein health. Dr. Sohrabi offers advanced, minimally invasive procedures in Dubai.

  • Diagnosis usually involves a detailed consultation and physical examination. Dr. Sohrabi may also use Doppler ultrasound to assess blood flow and identify any underlying venous insufficiency, ensuring a precise and personalized treatment plan.

  • Most treatments, including laser therapy (EVLA), sclerotherapy, and radiofrequency ablation, are minimally invasive and done under local anaesthesia as day case (walk in-walk out) and are well tolerated. Dr. Sohrabi uses modern techniques that cause little to no discomfort and have minimal downtime.

  •  If the treatment is deemed medically necessary—for example, due to pain, swelling, or complications—many insurance providers in Dubai may cover it. Dr. Sohrabi’s clinic can help you navigate the insurance process and provide required medical documentation.

  • Recovery is usually quick, 24 to 48 hours for most patients. You can resume daily activities almost immediately. Compression stockings may be recommended for a few days post-treatment to enhance results.

  • You can lower your risk by maintaining a healthy weight, staying active, and using compression stockings when needed. During your consultation, Dr. Sohrabi will provide personalized prevention tips based on your risk profile.

  • Yes, however it is recommended to take precautions such as wearing compression stockings, staying hydrated, and moving your legs frequently during long flights. Dr. Sohrabi can offer tailored advice for travelers.

  • Most patients resume normal activities within 24–48 hours after minimally invasive treatments. You may be advised to wear compression stockings for a few weeks to support healing. Dr. Sohrabi ensures a smooth recovery with post-procedure care.

  • Yes, they’re an essential part of conservative management. Compression stockings help improve the vein circulation and relieve discomfort, especially if you’re not ready for a procedure. However, they do not eliminate existing varicose veins. Dr. Sohrabi often includes them as part of a comprehensive treatment plan.

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Why Choose Dr. Soroush Sohrabi in Dubai?

  • UK-trained Consultant Vascular Surgeon with advanced fellowships in Australia and the US.

  • Extensive expertise in both open AAA surgery and endovascular repair.

  • Personalized care, focusing on safety, outcomes, and long-term monitoring.

  • State-of-the-art facilities in Dubai for imaging, surgery, and follow-up.

  • A track record of evidence-based, patient-centered care.

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