Page 4 - Virtual Vascular Vol 4

Left thoracoabdominal
incision

CA &
SMA

The diaphragm is partially L renal artery
incised. Thoracic aortic

control is effected.
Individual visceral vessels

Descending (Celliac, SMA, renals) are
thoracic aorta identified and controlled.
The aneurysm is opened
and replaced with a
prosthetic graft. The 4
Diaphragm visceral vessels are

individually reimplanted.

Celiac axis
SMA L renal artery

L renal vein

Aneurysm

Tail of p
pancreas
OPEN THORACOABDOMINAL REPAIR is an ultra-major operation.

The thoracoabdominal aorta is replaced by a prosthetic graft and
the visceral vessels (CA,SMA, Renals) has to be reimplanted into

the graft. This operations carries significant mortality and morbidi-
4 ty, including bowel and renal ischemia, and paraplegia. 5