Page 37 - Virtual Vascular Vol 6

Operative photo of the open AAA repair of this patient, with an interposition bifurcat-

While the infrarenal “neck” of this patient is acceptable for EVAR, the bilateral com- ed graft to both common iliac arteries. The aorta is a retroperitoneal structure and the

mon iliac aneurysms is problematic and would require advanced endovascular tech- small bowel has to be reflected to the right side in order to access it. The two orange
niques to preserve at least one internal iliac artery. Aside from the proximal end, the lines outlined the “neck” of the aneurysm with the retractor on the left renal vein
“bottom” end of the aneurysm is also a matter of consideration for EVAR. crossing over the anterior border of the AAA.

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