Page 28 - Virtual Vascular Vol 4
P. 28

Emergency open repair of the patient with
       a ruptured AAA.  The aorta was replaced                                                                               Aortic Anatomy

       with a straight tube graft of woven Dacron.



















































































                                                                                                                           A 68 year old man with an AAA but unfavorable anatomy for EVAR: The infrarenal “neck” is very an-
                                                                                                                           gled and his L common iliac is aneurysmal. Instead of pushing for a EVAR a standard open AAA repair
                                                                                                                           with a bifurcated graft will give durable results, given he is a younger patient.  EVAR is not recom-
                                                                                                                           mended unless he is medically unfit.
        28                                                                                                                                                                                                                            29
   23   24   25   26   27   28   29   30   31   32   33