Aneurysm Surgery in Delhi, India

At Max Hospitals, we specialise in diagnosing and treating a wide range of aneurysms with precision and expertise. Our advanced medical infrastructure and skilled specialists enable us to manage even the most complex cases effectively. The key types of aneurysms we treat include:

• Brain Aneurysm (Cerebral Aneurysm) – A bulging or weakened area in the blood vessels of the brain, which, if ruptured, can lead to a life-threatening stroke.
• Aortic Aneurysm – An abnormal enlargement of the aorta, the body's largest artery, which can occur in the chest (thoracic aortic aneurysm) or abdomen (abdominal aortic aneurysm).
• Peripheral Aneurysm – Aneurysms that develop in arteries outside the brain and aorta, such as in the legs, arms, or behind the knee (popliteal aneurysm).
• Visceral Aneurysm – Rare aneurysms that affect the arteries supplying blood to internal organs like the liver, spleen, kidneys, and intestines.

Our team utilises state-of-the-art imaging techniques and minimally invasive procedures to ensure accurate diagnosis and effective treatment for every patient.

Aneurysm surgery is recommended based on factors such as the size, location, and risk of rupture of the aneurysm. Doctors may advise surgical intervention in the following cases:

• Growing Aneurysms – If an aneurysm is increasing in size, it may pose a higher risk of rupture.
• Symptomatic Aneurysms – When an aneurysm causes pressure on surrounding tissues, leading to symptoms like headaches, vision problems, or nerve pain.
• High Rupture Risk – If imaging tests indicate that an aneurysm has a high chance of rupturing, immediate surgery may be required.
• Aneurysms in Critical Locations – If the aneurysm is in an area where rupture could cause severe complications, preventive surgery may be advised.
• Personal or Family History – Patients with a history of aneurysm rupture or a family history of aneurysms may be recommended for surgery as a precaution.

Surgical decisions are made after a thorough evaluation, ensuring the treatment approach is tailored to the patient’s specific condition.

While aneurysm surgery is generally considered safe and effective, like any surgical procedure, it carries certain risks. The specific risks vary depending on the type and location of the aneurysm, the surgical technique used, and the patient's overall health. It's crucial to discuss these risks thoroughly with your surgeon at Max Hospital. Some potential risks include:

• Bleeding: Bleeding can occur during or after surgery, requiring blood transfusions or further intervention.
• Infection: Infection at the surgical site or within the body is a possibility with any surgery. Antibiotics are typically administered to minimize this risk.
• Damage to Blood Vessels or Nerves: There is a risk of damage to nearby blood vessels or nerves during the procedure, which can lead to complications such as numbness, weakness, or other neurological deficits.
• Stroke (for brain aneurysm surgery): Stroke is a potential complication of brain aneurysm surgery, although advancements in techniques have significantly reduced this risk.
• Re-bleeding (for ruptured aneurysms): There is a risk of re-bleeding after surgery for a ruptured aneurysm, although this is less common with modern surgical techniques.
• Reaction to Anesthesia: Some individuals may experience adverse reactions to the anesthesia used during surgery.
• Implant-Related Issues (if applicable): If a clip or coil is used to treat the aneurysm, there is a small risk of it moving or causing other issues.
• Restenosis (for endovascular procedures): In endovascular procedures, there is a risk of the treated area narrowing again over time.

It's important to emphasise that these risks are generally low, and the benefits of aneurysm surgery, especially for ruptured or high-risk aneurysms, often outweigh the potential risks. At Max Hospitals, our surgical team takes all necessary precautions to minimize these risks and ensure patient safety.

Proper preparation is essential for a successful aneurysm surgery and a smooth recovery. Following your healthcare team's recommendations can help minimize risks and improve surgical outcomes. At Max Hospital, we ensure that you receive comprehensive preoperative care, which may include:

• Medical Evaluation – A detailed assessment is conducted to determine your overall health and suitability for surgery. This includes imaging tests such as CT scans, MRIs, or angiography to assess the aneurysm's size and location. Blood tests and heart function evaluations may also be performed to identify any underlying conditions that could affect the procedure.
• Medication Adjustments – Your doctor may review your current medications and recommend changes. Blood thinners, in particular, may need to be stopped or adjusted before surgery to minimize bleeding risks. If you take medications for blood pressure, diabetes, or other chronic conditions, your healthcare team will guide you on managing them before the procedure.
• Lifestyle Modifications – Certain lifestyle changes can significantly impact surgical success and post-operative recovery. Patients may be advised to quit smoking, as it can affect blood vessel health and healing. Maintaining controlled blood pressure and following a balanced diet can also contribute to better surgical outcomes.
• Fasting Guidelines – To ensure a safe procedure, you may be required to refrain from eating or drinking for a specific period before surgery. This helps prevent complications related to anaesthesia and ensures a smoother surgical process.
• Pre-Surgical Counselling – Undergoing aneurysm surgery can be overwhelming, but our specialists at Max Hospital are here to guide you. During pre-surgical counselling, our experts will explain the procedure, address any concerns, and help you prepare mentally and emotionally for surgery.

Aneurysm surgery is a complex procedure that requires precision and expertise. At Max Hospital, our experienced surgeons use advanced techniques to repair or remove the aneurysm, ensuring the best possible outcomes. The type of surgery performed depends on the location, size, and severity of the aneurysm. Here are some of the most common types of aneurysm surgeries surgeons perform.

Clipping (for Brain Aneurysms)

 The procedure begins with the administration of general anesthesia. An incision is made in the scalp to access the brain. Using specialized instruments, the surgeon carefully places a small metal clip at the base of the aneurysm to close it off and prevent blood from entering. This clip remains permanently in place. Finally, the incision is closed with sutures or staples.

Coiling (for Brain Aneurysms and Some Other Aneurysms)

Performed under general anesthesia, in this surgery a thin catheter is inserted into a blood vessel, typically in the groin, and guided to the aneurysm in the brain. Through this catheter, tiny soft platinum coils are placed inside the aneurysm sac. These coils fill the aneurysm, preventing blood from entering and reducing the risk of rupture. After the procedure, the catheter is removed, and the insertion site is closed.

Endovascular Repair (for Aortic Aneurysms and Some Other Aneurysms)

This procedure is performed under general or local anesthesia. A catheter is inserted into a large artery, often in the groin, and guided to the site of the aneurysm. A stent graft — a fabric tube supported by a metal mesh — is delivered through the catheter and positioned inside the aneurysm to reinforce the weakened vessel wall and redirect blood flow. The catheter is then removed, and the insertion site is closed.

Open Surgery (for Aortic Aneurysms and Some Other Aneurysms)

The procedure is carried out under general anesthesia. An incision is made to directly access the aneurysm. The affected vessel is either repaired by stitching the vessel wall or replaced with a graft. Once the repair is complete, the incision is closed.

The surgical team will closely monitor your vital signs throughout the procedure. The duration of the surgery varies depending on the complexity of the case. After the procedure, you will be taken to a recovery room for close monitoring.

Recovery after aneurysm surgery varies depending on the type of procedure performed and the patient’s overall health. At Max Hospital, we prioritise patient care with a comprehensive recovery plan to ensure a smooth healing process.

Immediate Post-Surgery Care

After the procedure, patients are closely monitored in the intensive care unit (ICU) for vital signs, brain function (for cerebral aneurysms), and potential complications such as bleeding or blood clots.

Hospital Stay Duration

• Open Surgery (Clipping): Patients may stay in the hospital for a week or longer, depending on their condition and progress.

• Endovascular Surgery (Coiling/Stenting): Most patients can be discharged within a few days, provided there are no complications.

Pain Management and Medications

Patients are given pain relievers to manage discomfort and may be prescribed blood pressure medication or anticoagulants to prevent complications.

Physical and Cognitive Rehabilitation

Some patients may experience weakness, speech difficulties, or cognitive changes, especially after brain aneurysm surgery. In such cases, physical therapy, occupational therapy, and speech therapy may be recommended.

Lifestyle Adjustments for Long-Term Recovery

Patients are advised to:

• Avoid strenuous activities and heavy lifting for a few weeks.
• Follow a heart-healthy diet and maintain optimal blood pressure.
• Quit smoking and limit alcohol intake to reduce the risk of future aneurysms.
• Attend regular follow-up appointments for imaging tests and assessments.

What are the warning signs of an aneurysm?

Many aneurysms are asymptomatic, meaning they don't cause any noticeable symptoms. This is especially true for unruptured aneurysms. However, some aneurysms may cause localized pain, swelling, or neurological symptoms depending on their location. A ruptured aneurysm is a medical emergency and often presents with sudden, severe headache (in the case of a brain aneurysm), nausea, vomiting, stiff neck, or loss of consciousness.

How are aneurysms different from other vascular problems?

Aneurysms are specifically bulges or weak spots in the artery wall. Other vascular problems might include blockages (like in atherosclerosis), inflammation of blood vessels (vasculitis), or abnormal tangles of blood vessels (AVMs). The key difference is the ballooning or weakening of the vessel wall in an aneurysm.

Are aneurysms hereditary?

While most aneurysms are not directly inherited, having a family history of aneurysms, especially ruptured aneurysms, can increase your risk. This is particularly true for certain genetic conditions like Marfan syndrome or Ehlers-Danlos syndrome, which can weaken blood vessel walls.

Can lifestyle factors contribute to aneurysms?

Yes, certain lifestyle factors can increase the risk of developing aneurysms. These include smoking, high blood pressure, an unhealthy diet, and lack of regular exercise.

How is an aneurysm detected if there are no symptoms?

Often, asymptomatic aneurysms are discovered incidentally during imaging tests performed for other reasons. For example, a brain aneurysm might be found during an MRI of the head for headaches, or an abdominal aortic aneurysm might be detected during an ultrasound of the abdomen.

What are the treatment options for aneurysms besides surgery?

Depending on the size, location, and risk of rupture, some aneurysms may be managed conservatively with regular monitoring through imaging scans. This approach is often used for small, stable aneurysms that are not causing symptoms.

How do surgeons decide which surgical approach is best?

The choice between clipping, coiling, endovascular repair, or open surgery depends on several factors, including the type and location of the aneurysm, the patient's overall health, and the surgeon's expertise. The surgeon will discuss the most appropriate option with the patient.

How long is the recovery period after aneurysm surgery?

Recovery time varies depending on the type of surgery performed and the patient's overall health. Open surgery typically requires a longer recovery period than minimally invasive procedures like coiling or endovascular repair.

What can I expect after brain aneurysm surgery in terms of cognitive function?

Some patients may experience temporary cognitive changes after brain aneurysm surgery, such as difficulty with memory, concentration, or speech. These changes usually improve over time with rehabilitation.

What are the long-term effects of having a clip or coil placed in a brain aneurysm?

In most cases, clips and coils remain in place permanently and do not cause any long-term problems. However, regular follow-up appointments and imaging studies are important to monitor the treated aneurysm and ensure its stability.

Can I return to normal activities after aneurysm surgery?

Most patients can return to their normal activities after aneurysm surgery, although it may take several weeks or months to fully recover. Your surgeon will provide specific guidelines on when you can resume different activities.

What are the chances of an aneurysm recurring after treatment?

The risk of an aneurysm recurring after treatment is relatively low, but it is still possible. Regular follow-up appointments and imaging studies are important to monitor for any signs of recurrence.

Can I prevent aneurysms?

While some risk factors for aneurysms, such as genetics, cannot be changed, you can reduce your risk by adopting a healthy lifestyle. This includes quitting smoking, maintaining a healthy blood pressure, eating a balanced diet, exercising regularly, and managing stress.

What are some heart-healthy lifestyle changes I can make to reduce my risk?

Heart-healthy lifestyle changes include eating a diet low in saturated and trans fats, cholesterol, and sodium; maintaining a healthy weight; exercising regularly; managing stress; and avoiding smoking.

Are there any specific exercises I should avoid after aneurysm surgery?

Your surgeon or physical therapist will provide specific guidelines on which exercises to avoid after aneurysm surgery. In general, high-impact activities and heavy lifting should be avoided until your surgeon gives you clearance.

What makes Max Hospital a leading centre for aneurysm treatment?

Max Hospital has a team of highly experienced neurosurgeons and vascular surgeons specializing in aneurysm treatment. We also have state-of-the-art facilities and advanced technology to provide the best possible care.

How can I schedule a consultation with an aneurysm specialist at Max Hospital?

You can easily schedule a consultation with our aneurysm specialists through our website, by calling our appointment line, or by visiting one of our Max Hospital facilities.

Does Max Hospital offer support groups for aneurysm patients and their families?

Please contact Max Hospital directly to inquire about available support groups or resources for aneurysm patients and their families. They can provide the most up-to-date information on available support services.

Reviewed by Dr. Rajiv Agarwal, Principal Director & Unit Head, Cardiac Sciences, Cardiology, Interventional Cardiology, on 14 May 2025.