Abdominal & Thoracoabdominal Aorta
Complex Open Aneurysm Repair
Open repair for aneurysms involving the kidney and intestinal arteries.
What it is
For aneurysms that sit too close to — or involve — the arteries feeding the kidneys and intestines, a standard repair isn’t enough. The aorta is clamped above the kidney arteries and the repair completed quickly to protect those organs, sometimes with small grafts added to restore branch blood flow.
When it’s recommended
- Juxtarenal or pararenal aneurysms involving branch arteries
- Anatomy unsuitable for a branched stent-graft
- Need for a durable open solution in a fit patient
How it’s performed
Every plan is individualized and reviewed by our multidisciplinary aortic team.
Advanced imaging to plan branch-vessel protection
Controlled clamping above the kidney arteries
Graft replacement with reattachment or bypass of key branches
Careful monitoring of organ perfusion
Recovery & follow-up
A more demanding operation than standard open repair, with a hospital stay and a recovery measured in several weeks, supported by an experienced aortic team.
Why the Baylor Medicine Center for Aortic Surgery
Complex aortic care is safest in experienced hands. Dr. Oderich and the Center bring more than 7,000 open and endovascular aortic repairs of experience, advanced imaging, and a multidisciplinary team to every case.
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