Medication
What Is Medical Treatment for Aortic Disease?
When people think of aortic disease, they often picture surgery or stent procedures. But for many patients, medicines are a key part of treatment, sometimes on their own, and almost always together with surgery or endovascular repair. Medical treatment mostly comes in the form of daily pills that help control risk factors, protect the aorta, and prevent complications.
Why Are Medicines Important?
The main goals of medical treatment are:
To lower strain on the aorta and prevent new injuries and therefore events like rupture, aneurysm growth, or clot formation.
To support recovery after surgery or stent placement.
To help patients with aortic disease live longer and feel better.
Common Types of Medication Used
Doctors use several types of medicine for aortic disease. The most important groups are:
Antihypertensives: Medicines that keep blood pressure low and steady, lessening stress on the aorta’s wall (Subchap reference).
Blood thinners (anticoagulants and antiplatelet drugs): These reduce the risk of clots forming in or around the aorta, especially after certain procedures or when an artificial prosthesis or stentgraft is used (Subchapter reference).
Other medicines, like cholesterol-lowering drugs or pain relief, may also be important in some patients.
When Is Medical Treatment Needed?
Medical treatment might be recommended:
For patients with aortic disease who do not need or cannot safely have surgery.
To help stabilize the aorta before planned surgery or stent procedures.
After surgery or endovascular repair, to keep blood pressure down and prevent clots.
For life-long protection in people at risk of more aortic or heart problems.
How Do Doctors Choose the Right Treatment?
There isn’t a one-size-fits-all plan for everyone. Doctors think about the type and location of aortic disease, other health issues (like kidney problems or prior strokes), allergies, and how well a patient can take different medicines. Usually, a mix of drugs is needed, with the doses tailored over time.
What Should Patients Know?
It’s important to:
Take all medicines exactly as prescribed.
Attend regular check-ups to monitor blood pressure, test for side effects, and adjust medications if needed.
Stay as healthy as possible: eat a balanced diet, avoid smoking, and get regular activity if your doctor says it’s safe.
Ask questions and tell your healthcare team about any changes or side effects.