Incision on the 11th intercostal space on the left side Anterior end of the incision on the edge of rectus abdominis. The longer posterior the …
Continue ReadingVascular Notes – Vol 1
In this section (Vascular Notes), I will write various notes that I have collected, most of them been from various congresses or meetings. Stay tuned …
Continue ReadingThe roof-top approach: closure
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Continue ReadingThe roof-top approach: aortic repair
So, the aorta is clamped. Proximally, at the diaphragm, and distally at both common iliacs. Get ready! Go!
Continue ReadingThe roof-top approach: proximal and distal control
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Continue ReadingThe roof-top approach, part 4: aortic dissection
Step No 5: Dissect the proximal aorta What is between you and the proximal aorta is the left crus of the diaphragm. With your hand …
Continue ReadingThe roof-top approach, part 3: dissection & approach to the aorta
So you stand on the right side of the patient, you have made the roof-top incision and you are inside the peritoneal cavity. The lower …
Continue ReadingThe roof-top approach, part 2: skin incision
Roof-top approach is a totally abdominal approach to the suprarenal aorta. This means that the incision is an abdominal incision. And as the title says, …
Continue ReadingThe roof-top approach, part 1: patient’s position
So you need to repair a suprarenal aortic aneurysm or even a type IV thoracoabdominal aortic aneurysm. There are mainly three options: a. a retroperitoneal …
Continue ReadingThe roof-top approach to the suprarenal aorta
The open repair of a suprarenal abdominal aortic aneurysm is a demanding procedure as it requires suprarenal or even supraceliac aortic clamping. The traditional approach …
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