Abdominal Aortic Aneurysm Repair (Open)

  • Abdominal Aortic Aneurysm Repair (Open)

    Abdominal Aortic Aneurysm Repair (Open)

    This patient had a 6 cm abdominal aortic aneurysm. As is the case 30% of the time, he required open abdominal aortic aneurysm repair with aortobifemoral bypass rather than endoluminal abdominal aortic aneurysm repair (EVAR) due to anatomic features.

  • Preoperative preparation.

  • Exposure of femoral artery.

  • Control of femoral artery.

  • Abdominal incision.

  • Exposure of aortic aneurysm.

  • Aortic sac opened.

  • Removal of aneurysm sac mural thrombus.

  • Preparation of proximal aorta.

  • Gortex aortobifemoral graft.

  • Graft sutured to aorta.

  • Posterior wall completed.

  • Inspection of proximal anastomosis.

  • Aortic graft completed.

  • Tunneling of left graft limb to groin.

  • Preparation of femoral artery in groin.

  • Femoral graft completed.

  • Abdominal wound closed.

  • Groin closed.