Open surgical repair of a pararenal AAA
In this video case, we present our standard practice of open surgical repair for pararenal AAA. In general, we performed open repair with the “clamp and sew” technique, and the application of cold renal perfusion is limited to the cases with renal revascularization. Sometimes, division of left renal vein is imperative for better access to the suprarenal aorta. Retrospective analysis of our series revealed no negative impact of the division on long-term renal function – J Vasc Surg 2018;67:1042-1
Aortic Disease Awareness Day – Please comment
Do you have any clues on the CT to know which patients are going to use renal revascularization?
Thanks for sharing.
Why didn’t you anastomosed left renal artery to principal body of bifurcated graft?