Masayuki Sugimoto
Activities
Ricardo Pereira commented on presentation Open surgical repair of a pararenal AAA.
Vascupedia commented on presentation Open surgical repair of a pararenal AAA.
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
The chronic mesenteric ischemia
Patient’s characteristics
Gender: Female
Age: 69 years old
Comorbidity: Arterial hypertension, Dyslipidemia, coronary heart disease (DES deployment 2 years ago)
Symptoms: Postprandial pain
Previous abdominal operations: None
DUS: Occlusion of the superior mesenteric artery