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Year : 2015  |  Volume : 2  |  Issue : 1  |  Page : 21-24

Improvised Top-End Strategy for Surgical Repair of Juxtarenal Abdominal Aortic Aneurysm


Department of Cardiovascular and Thoracic Surgery, Division of Vascular and Endovascular Surgery, Sri Chitra Thirunal Institute of Medical Science, Trivandrum, Kerala, India

Correspondence Address:
Prof. Madathipat Unnikrishnan
Department of Cardiovascular and Thoracic Surgery, Division of Vascular and Endovascular Surgery, Sri Chitra Thirunal Institute of Medical Science, Trivandrum, Kerala
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-0820.152829

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Juxtarenal abdominal aortic aneurysm (AAA), a variant of infrarenal AAA forms a formidable therapeutic challenge in both open and endovascular strategies in view of its domain bearing viscero-renal arteries. Reported conventional surgical approach mandates supracoeliac/suprarenal aortic cross clamping that leads to significant renal morbidity and rarely mortality. We describe, a threefold adjuvant in surgical strategy namely division of left renal vein, interrenal aortic cross clamping and transaortic ostial instillation of renal preservation fluid through lower renal artery, that provided safe operating conditions leading to excellent results.


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