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Alexander D. Shepard, MD, David F. J. Tollefson, MD, Daniel J

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Presentation on theme: "Alexander D. Shepard, MD, David F. J. Tollefson, MD, Daniel J"— Presentation transcript:

1 Left flank retroperitoneal exposure: A technical aid to complex aortic reconstruction 
Alexander D. Shepard, MD, David F.J. Tollefson, MD, Daniel J. Reddy, MD, James R. Evans, MD, Joseph P. Elliott, MD, Roger F. Smith, MD, Calvin B. Ernst, MD  Journal of Vascular Surgery  Volume 14, Issue 3, Pages (September 1991) DOI: / (91) Copyright © 1991 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

2 Fig. 1 Transverse cross sections outline two planes of dissection in extended left flank retroperitoneal approach. A, Retrorenal approach, behind left kidney and ureter, is used for most reconstructions. B, Plane of exposure carried anterior to the left kidney, which is left in situ, and posterior to the pancreas. This modified approach is necessary for exposure of proximal portion of SMA (first 6 to 8 cm) when SMA or pararenal aortic endarterectomy is contemplated. Journal of Vascular Surgery  , DOI: ( / (91) ) Copyright © 1991 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

3 Fig. 2 Suprarenal AAA as viewed from extended left flank retroperitoneal incision. Journal of Vascular Surgery  , DOI: ( / (91) ) Copyright © 1991 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

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