SURGERY of AORTIC ANEURYSMS

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Presentation transcript:

SURGERY of AORTIC ANEURYSMS ABDOMINAL AORTA or THORACO-ABDOMINAL AAORTA with RENAL ARTERY RE-IMPLANTATION through LEFT THORACO-PHRENO-LAPAROTOMY * * Incision through the THORAX, DIAPHRAGM and ABDOMEN

JUXTA-RENAL AORTIC ANEURYSM THORACO-PHRENO-LAPAROTOMY Pericardium Peritoneal sac Aortic bifurcation Thoracic aorta Aneurysm Diaphragm (cut))

HUGE ABDOMINAL AORTIC ANEURYSM INFRARENAL AORTA INFERIOR MESENTERIC ARTERY 10 cm. AORTIC BIFURCATION and ILIAC ARTERIES

EXTENDED LEFT RETROPERITONEAL APPROACH for AORTIC ANEURYSMS INFRARENAL AORTA AORTIC BIFURCATION ILIAC ARTERIES ANEURYSM and INTRA-ANEURYSMAL THROMBOSIS

THORACIC AORTA – to – BILATERAL FEMORAL BYPASS “HIGH” OCCLUSION of the ABDOMINAL AORTA Technique used with heavily-calcified abdominal aortas