case_images: PMC11342435_01
case_images: (a) The reconstructed angiography image demonstrates a saccular juxtarenal abdominal aortic aneurysm with dimensions of 30 x 20 x 25 mm (width x anterior-posterior diameter x height):green arrow. (b) The postoperative reconstructed angiography image shows that the aorta-femoral bypass and visceral blood vessels had good circulation:red arrow.
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case_images: PMC11342435_01_10.1177_2050313X241271883-fig1.jpg
case_images: fig1-2050313X241271883
case_images: CT revealed a saccular juxtarenal abdominal aortic aneurysm with dimensions of 30 x 20 x 25 mm (width x anteroposterior diameter x height), aneurysm neck of 18 mm, irregular margin, and wall thrombosis thickness <12 mm (Figure 1(a)). A postoperative CT scan showed a localized collection of fluid around the abdominal aorta surgery site, and the descending aorta-femoral bypass and visceral blood vessels had good circulation (Figure 1(b)).
case_images: Proximal end-to-side anastomosis is observed via lateral thoracotomy between the thoracic aorta and prosthetic graft with Prolene 4-0 sutures. (a) The thoracic aorta was incised longitudinally about 2 cm. (b, c) End-to-side anastomosis between the thoracic aorta and prosthetic graft with Prolene 4-0 sutures. (d) We inserted the graft through the diaphragm, clamped the distal end of the graft, and unclamped the proximal end of the graft.
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case_images: PMC11342435_01_10.1177_2050313X241271883-fig2.jpg
case_images: fig2-2050313X241271883
case_images: We used a silver graft prosthesis (polytetrafluoroethylene) and a side-to-end anastomosis technique (Figure 2).
case_images: Resection of the aneurysm and extensive local debridement surgery via the midline abdominal incision. (a) Exposure and control of the abdominal aorta. (b) Clamping the suprarenal abdominal aorta for 10 min, removal of the aneurysm and necrotic tissue, and suturing the end of the infrarenal abdominal aorta. (c) The drainage of the retroperitoneal cavity. (d) The closure of the midline abdominal incision.
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case_images: PMC11342435_01_10.1177_2050313X241271883-fig3.jpg
case_images: fig3-2050313X241271883
case_images: To strengthen the aortic stump to effectively reduce the risk of aortic stump rupture, we used surgical sealant (COSEAL) (Figure 3).
case_images: (a) The left common femoral artery was exposed, and the two ends of the Y-shaped graft were carried down to the left inguinal position. (b) Exposing the right common femoral artery. (c) The graft was routed in the subcutaneous tunnel from left to right. (d) End-to-side anastomosis between the two ends of the Y-shaped graft and common femoral arteries with Prolene 5-0 sutures.
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case_images: PMC11342435_01_10.1177_2050313X241271883-fig4.jpg
case_images: fig4-2050313X241271883
case_images: Finally, two common femoral and graft end-to-side anastomoses were performed (Figure 4).