VSA will, through modification of your risk factors, work with your primary care physician to help minimize expansion of your aneurysm. These risk factors include smoking, high blood pressure, high cholesterol, fatty diet and diabetes. VSA was one of the first practices in Maryland to perform the endovascular repair of aortic aneurysms, and for decades has performed complex “open” aneurysm repairs, when necessary. We are also proud to be one of only a few select sites in the United States offering the fenestrated endovascular stent graft for aneurysms that approach the arteries to the kidneys. These are called juxtrarenal aneurysms.