• 1. Distal Descending Aorta Anastomosis
  • 2. Atrio-Femoral Bypass Removal
  • 3. Celiac Artery Reconstruction
  • 4. Schließung
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Thoracoabdominal Aortic Aneurysm Repair - Part 2

Andrew Del Re1, Virendra I. Patel, MD, MPH2, Jahan Mohebali, MD, MPH2
1The Warren Alpert Medical School of Brown University
2Massachusetts General Hospital

Procedure Outline

1. Distal Descending Aorta Anastomosis

  1. Atrio-Femoral Bypass Removal
  2. Check Anastomosis For Leaks
  3. Sequentially Open Distal Clamps

2. Atrio-Femoral Bypass Removal

  1. Decannulate L. Inf. Pulmonary
  2. Close Purse String Suture of L. Inf. Pulmonary Vein
  3. Decannulate L. Femoral Artery

3. Celiac Artery Reconstruction

  1. Create Side-Arm Exit Point in the Aortic Graft
  2. Anastomose Side-Arm Graft to Aortic Graft
  3. Check Anastomosis for Leaks
  4. End-to-end Anastomosis of Celiac Artery to Side-Arm Graft
  5. Check Anastomosis for Leaks

4. Closure

  1. Close Aneurysm Sac Over Aortic Graft
  2. Repair Left Hemi-Diaphragm
  3. Insert Thoracic Drains
  4. Repair Thoracotomy