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