1. SURGERY of AORTIC ANEURYSMS
ABDOMINAL AORTA or
THORACO-ABDOMINAL AAORTA
with
RENAL ARTERY RE-IMPLANTATION
through
LEFT THORACO-PHRENO-LAPAROTOMY *
* Incision through the THORAX, DIAPHRAGM and ABDOMEN

2. JUXTA-RENAL AORTIC ANEURYSM THORACO-PHRENO-LAPAROTOMY
Pericardium
Peritoneal sac
Aortic bifurcation
Thoracic aorta
Aneurysm
Diaphragm (cut))

3. HUGE ABDOMINAL AORTIC ANEURYSM
INFRARENAL AORTA
INFERIOR
MESENTERIC
ARTERY
10 cm.
AORTIC BIFURCATION and ILIAC ARTERIES

4. EXTENDED LEFT RETROPERITONEAL APPROACH for AORTIC ANEURYSMS
INFRARENAL AORTA
AORTIC BIFURCATION
ILIAC
ARTERIES
ANEURYSM
and
INTRA-ANEURYSMAL THROMBOSIS

5. THORACIC AORTA – to – BILATERAL FEMORAL BYPASS
“HIGH” OCCLUSION
of the
ABDOMINAL AORTA
Technique used with
heavily-calcified abdominal aortas