Page 5 - Virtual Vascular Vol 4
P. 5
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
