Page 23 - Virtual Vascular Vol 15

To complicate, this is in fact a “juxtarenal” aneurysm. There is a large, unhealthy “bleb” at the

level of the renal arteries (arrows). Open repair will necessitate a clamp above the renal arteries,
likely above the SMA.

This gentleman was also found to
have severe lumbar spinal deformity.
These deformities can force the adja-
cent structures (such as the aorta) to
warp and twist in uncommonly seen
shapes.

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