Chirurgie des anévrismes de l'aorte abdominale sous-rénale : techniques chirurgicales

The purpose of this chapter is to precise the techniques used for open surgical repair of subrenal abdominal aortic aneurysms. Perioperative care, surgical approaches and reconstructive techniques are exposed and the general principles and treatment of isolated aneurysms of the subrenal aorta, juxta-renal aneurysms and aortoiliac aneurysms are detailed. The limited role of palliative treatment is then discussed, as well as the management of ruptured, inflammatory, infected and dissecting aneurysms. Finally we review the specific problems raised by the relatively common combination of various occlusive atherosclerotic lesions, aneurysms of other localization, various urologic and digestive diseases and venous abnormalities.