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 is retroperitoneal that can become a left thoracoabdominal. Is there another option? Certainly, there is. The “roof-top” approach to the suprarenal aorta.
These are the following stages of the procedure: