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MAYWOOD, IL – When 64-year-old Robert Johnson of Highland, Indiana thought he had kidney stones, he visited his primary care physician who couldn’t see anything of concern. He pushed, saying “I’m not making up this pain. It’s waking me up every night.”

When his urologist sent him for a CT scan, they found a large abdominal aortic aneurysm (AAA). He had an emergency surgery and a stentgraft was placed to cover the aneurysm and prevent it from rupturing.

After seven years with the stentgraft in place, Mr. Johnson went to the hospital with the same pain. His cardiologist sent him to Loyola Medicine for treatment, knowing that the problem was beyond the scope of the care the community hospital could provide.

“Dr. Bechara at Loyola told me that I was having pain because the aneurysm was eroding into one of my blood vessels in the abdomen which brings blood back to the heart. I was very fortunate that my aneurysm came with pain because I was able to seek medical treatment.”

Carlos Bechara, MD, is a vascular surgeon at Loyola who performs both open and minimally invasive aneurysm surgery. He says, “the most important thing for us to provide patients and physicians is education and awareness about AAAs.” An aneurysm is “a ballooning of the vessels,” says Dr. Bechara, “the larger it gets, the thinner the wall of the blood vessel gets. It’s important to detect it before it ruptures.

Not all patients are lucky like Mr. Johnson - some patients present with rupture as their first symptom, so it is very crucial to detect an aneurysm before this occurs.” Aneurysms can be detected with an ultrasound or CT scan. Patients most at risk for AAAs are men over age 65 who have smoked cigarettes and/or have a strong family history of aneurysm. For these patients, a one-time screening is recommended. The goal of detection and treatment is to prevent the aneurysm from rupturing.

Support for patients at Loyola with AAAs includes vascular and cardiac surgeons and a full spectrum of therapies for aneurysms regardless of location. Dr. Bechara explains, “Surgical treatment for an AAA can be performed through open surgery or endovascular surgery. During open surgery, the damaged section of the aorta is removed and a graft is put in its place to restore blood flow.” Medical monitoring is recommended for patients who have small asymptomatic aneurysms.

In addition, Loyola also recommends and supports patients in making lifestyle modifications. Dr. Bechara adds, “Patients worry when they have a small aneurysm that it will rupture. The risk is very small. You can do moderate exercise and live a normal life. But the most important thing a patient can do is stop smoking. Smoking can cause aneurysms to continue to enlarge and rupture.”

Dr. Bechara has particular expertise in caring for patients with aneurysms in the chest and abdomen, as well as patients with vascular diseases. He provides a variety of medical, endovascular and surgical interventions for his patients. He also performs clinical research on aneurysms, particularly complex aneurysms in the chest and abdomen.

His research was cited in the most recent guidelines established by the Society of Vascular Surgery’s (SVS) for screening and treatment of AAAs. Dr. Bechara is a member of SVS as well as the American College of Surgeons.

About Loyola Medicine

Loyola Medicine, a member of Trinity Health, is a nationally ranked academic, quaternary care system based in Chicago's western suburbs. The three-hospital system includes Loyola University Medical Center (LUMC), Gottlieb Memorial HospitalMacNeal Hospital, as well as convenient locations offering primary care, specialty care and immediate care services from nearly 2,000 physicians throughout Cook, Will and DuPage counties. LUMC is a 547-licensed-bed hospital in Maywood that includes the William G. and Mary A. Ryan Center for Heart & Vascular Medicine, the Cardinal Bernardin Cancer Center, the John L. Keeley, MD, Emergency Department, a Level 1 trauma center, Illinois's largest burn center, the Nancy W. Knowles Orthopaedic Institute, a certified comprehensive stroke centertransplant center and a children’s hospital. Having delivered compassionate care for over 50 years, Loyola also trains the next generation of caregivers through its academic affiliation with Loyola University Chicago’s Stritch School of Medicine and Marcella Niehoff School of Nursing.   

Established in 1961, Gottlieb Memorial Hospital is a 247-licensed-bed community hospital in Melrose Park that includes the Judd A. Weinberg Emergency Department, the Loyola Center for Metabolic Surgery and Bariatric Care, Loyola Cancer Care & Research at the Marjorie G. Weinberg Cancer Center, acute rehabilitation, a transitional care center, childcare center and fitness center. Founded in 1919, MacNeal Hospital is a 374-licensed-bed teaching hospital in Berwyn with advanced medical, surgical and psychiatric services and a 68-bed behavioral health program.

For more information, visit loyolamedicine.org. You can also follow Loyola Medicine on LinkedIn, Facebook, Instagram or X (formerly known as Twitter).

About Trinity Health

Trinity Health is one of the largest not-for-profit, faith-based health care systems in the nation. It is a family of 127,000 colleagues and more than 38,300 physicians and clinicians caring for diverse communities across 26 states. Nationally recognized for care and experience, the Trinity Health system includes 93 hospitals, 107 continuing care locations, the second largest PACE program in the country, 142 urgent care locations and many other health and well-being services. In fiscal year 2024, the Livonia, Michigan-based health system invested $1.3 billion in its communities in the form of charity care and other community benefit programs. For more information, visit us at www.trinity-health.org, or follow us on LinkedIn, Facebook, and X (formerly known as Twitter).