Key result
Open surgical repair successfully treats a 13-cm juxtarenal AAA with sustained 3-year graft patency.
Why the study?
Despite a shift towards endovascular techniques, focused postgraduate training in open aortic surgery is essential for safely performing complex aortic repairs.
Case Report (n=1)
No
Open surgical repair remains a viable and successful option for complex, giant juxtarenal abdominal aortic aneurysms, highlighting the need for continued training in open aortic surgery.
Supports open repair feasibility in select giant juxtarenal AAAs; hypothesis-generating and should not yet change practice.
Herein, we present the case of an 84-year-old male with a 13-cm, symptomatic, unruptured juxtarenal abdominal aortic aneurysm. This aneurysm was successfully treated with open surgical repair, which was deemed satisfactory at the 3-year follow-up. Despite a paradigm shift towards endovascular techniques in aortic repair, postgraduate training with a focused exposure to open aortic surgery at high-volume centers is essential for future vascular surgeons to safely perform complex aortic repairs with acceptable mortality and morbidity rates.
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Titarenko et al. (2022) conducted a case report in Giant symptomatic unruptured juxtarenal abdominal aortic aneurysm (n=1). Open surgical aneurysm repair (OSR) was evaluated on Clinical outcome and graft patency. Open surgical repair successfully treated a 13-cm symptomatic unruptured juxtarenal abdominal aortic aneurysm in an 84-year-old male, maintaining graft patency and no aorta-related complaints at 3-year follow-up.
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