surgery of aortic aneurysms abdominal aorta or thoraco-abdominal aaorta with renal artery...
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
Peritoneal sacPeritoneal sac
Diaphragm (cut))Diaphragm (cut))AneurysmAneurysm
Aortic bifurcationAortic bifurcation
PericardiumPericardium
JUXTA-RENAL AORTIC ANEURYSM
THORACO-PHRENO-LAPAROTOMY
JUXTA-RENAL AORTIC ANEURYSM
THORACO-PHRENO-LAPAROTOMY
Thoracic aortaThoracic aorta
INFRARENAL AORTA
HUGE ABDOMINAL AORTIC ANEURYSM
AORTIC BIFURCATION and ILIAC ARTERIES
INFERIORMESENTERIC
ARTERY
10 cm.10 cm.
EXTENDED LEFT RETROPERITONEAL APPROACH
for AORTIC ANEURYSMS
ANEURYSM and
INTRA-ANEURYSMAL THROMBOSIS
INFRARENAL AORTA
AORTIC BIFURCATION
ILIACARTERIES
THORACIC AORTA – to – BILATERAL FEMORAL BYPASS
“HIGH” OCCLUSIONof the
ABDOMINAL AORTA
Technique used with
heavily-calcified abdominal aortas