The Center for Bloodless Medicine & Surgery at Pennsylvania Hospital
 

Spring 2005

Surgery Success Story
Surgical Repair of an Abdominal Aortic Aneurysm
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Physician Profile
 

Physician Profile: Keith D. Calligaro, MD

Spring 2005

Keith D. Calligaro, MD, is chief of vascular surgery at Pennsylvania Hospital and part of the team of physicians within the Center for Bloodless Medicine and Surgery at Pennsylvania Hospital who treats patients opting for bloodless surgical care.

As a vascular surgeon, Dr. Calligaro specializes in aortic aneurysms and carotid artery disease. Aortic aneurysms occur in the abdomen, below the kidneys (see patient profile). In recent years, vascular surgeons have developed a less invasive technique to repair aortic aneurysms called endovascular aortic stent grafting (see medical explanation). “There is about a 99 percent chance of placing them (endovascular aortic stent grafts) successfully,” Dr. Calligaro noted. “The mortality rate is less than one percent,” he said. Dr. Calligaro performs approximately 50 endovascular aortic stent grafts per year.

Vascular surgeons at Pennsylvania Hospital perform more than 600 major vascular open and endovascular operations each year. “In the Philadelphia region, we (at Pennsylvania Hospital) were the first to perform endovascular aortic stent grafts. We have been doing this procedure since 1998. Other hospitals have just started doing it in the last two or three years,” Dr. Calligaro said. If a patient is eligible, an endovascular aortic stent graft is an excellent option for those who prefer non-blood surgical techniques. “It is a safe and successful method. There is a less than five percent chance of any major complications or a need for blood transfusion. If an aneurysm ruptures or leaks, 90 percent of the people die,” Dr. Calligaro said.

Other advantages to the procedure include minimal patient preparation for surgery, a shorter hospital stay and recovery period. “Some patients can go home the day after surgery,” Dr. Calligaro said. “However, not everyone can get stent grafting done this way; in which case, we use traditional open surgery and apply the same bloodless techniques as other procedures,” he said. Although the procedure is less invasive and the recovery period is shorter, patients undergoing endovascular aortic stent grafting do need to be followed more frequently after the procedure than those who have had traditional open surgery.

About Dr. Calligaro
Dr. Calligaro is an associate clinical professor of vascular surgery at the University of Pennsylvania Health System. He received his medical degree from the University of Medicine and Dentistry of New Jersey. He completed his residency in general surgery at the University of Health Science and his fellowship in vascular surgery at Montefiore Medical Center. He is board-certified in general surgery and vascular surgery. Dr. Calligaro was recognized in Philadelphia Magazine’s Top Docs issue in 2002 and 2004.

 


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