Cardiovascular Surgery and Interventions 2022, Vol 9, Num 1 Page(s): 051-055
Retroperitoneal approach for suprarenal abdominal aortic aneurysm in Marfan syndrome

Anıl Ziya Apaydın, Serkan Ertugay, Ümit Kahraman, Defne Güneş Ergi

Department of Cardiovascular Surgery, Ege University Faculty of Medicine, Izmir, Turkey

Keywords: Aortic aneurysm/abdominal, juxtarenal aneurysm, Marfan syndrome, retroperitoneal approach, suprarenal aorta, surgery
Suprarenal abdominal aortic aneurysms pose a surgical challenge, as it is difficult to reanastomose the renal arteries and to place a cross-clamp to the aortic segment involving the visceral arteries through the diaphragmatic crux. The retroperitoneal approach with a limited thoracoabdominal incision through the ninth intercostal space offers some advantages over the midline transperitoneal approach which we explain by presenting its use in a patient with Marfan syndrome and a true abdominal aortic aneurysm. This technique should be in the armamentarium of aortic surgeons as they have to face with ever-increasingly difficult cases in the endovascular era.

DOI : 10.5606/e-cvsi.2022.1195