Surgical Technique for Reconstruction of the Proximal Edge for Ruptured Juxtarenal Abdominal Aortic Aneurysm

Abstract

Surgical management of ruptured juxtarenal abdominal aortic aneurysm (JR-AAA) involves complex repair of the aneurysm. Accordingly, the mortality rate for ruptured JR-AAA repair is high. An 83-year-old man with a diagnosis of ruptured JR-AAA underwent emergency surgery. The proximal edge of the aneurysm was reconstructed by aneurysmal wall crenation. Three vertical interrupted plicating sutures were placed to reduce the size of the aorta from a diameter of 50 mm to 22 mm. A second horizontal plicating suture was added to fold the plication and strengthen the suture line. This technique can be a useful option in the emergency repair of a ruptured JR-AAA.