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:

  1. Patient’s position
  2. Skin incision
  3. Dissection and approach to the aorta
  4. Aortic dissection
  5. Proximal and distal control
  6. Aortic repair
  7. Closure

Leave a Reply