c l i n i c a l f o l i o s : n a r r a t i v e





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Preoperative Issues in Aortic Surgery: CT Findings: 4

A D V E R T I S E M E N T

   
 

Supraceliac exposure is demonstrated. The approach is left retroperitoneal with the left kidney elevated. The left renal artery (solid arrow), superior mesenteric artery (dashed arrow), and the celiac artery (vessel loop around) are controlled. The distance between the renals and the visceral arteries is small, and often placing a clamp between them is not practical. These aspects of the suprarenal anatomy are some of the important information gained on the lateral aortogram.    

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Preoperative Issues in Aortic Surgery: CT Findings: 5

A D V E R T I S E M E N T

   
 

Same exposure in a different patient. In this patient, the left renal artery (arrow) is clearly coming from the aneurysm.       

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Preoperative Issues in Aortic Surgery: CT Findings: 6

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Aortic graft in place with the left renal artery reimplanted (see iliac aneurysm repair) as a patch (arrow).       

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This page was last modified on 3/28/2001.