Greg

Topics: Femoral artery, Arteries of the abdomen, External iliac artery Pages: 4 (1093 words) Published: August 9, 2013
OPERATIVE REPORT

ZALESKI, JEFF
0539786
08/06/13

PREOPERATIVE DIAGNOSIS
Abdominal aortic aneurysm

POSTOPERATIVE DIAGNOSIS
Abdominal aortic aneurysm

PROCEDURE
Repair of abdominal aortic aneurysm using a endoluminal ancure device 26x16

SURGEON
Melda Riviera MD

INTERVENTIONAL RADIOLOGIST
Catherine Watson MD

ANESTHESIA
General

PROCEDURE IN DETAIL
The patient was kept on the operating table and general anesthesia was given, fully catheter was introduced and connected to gravity drainage bag, a line was placed. Abdomine was then prepped and draped in the usual fashion extending from nipples up to the mid thighs. Groin towel was placed and secured in place with the help of staples. Vertical incision was made in the right groin at the palpable pulsations of the common femoral arteries. The skin and subcutaneous tissues were cut in the line of incision, bleeding points encountered were coagulated with the help of Bovie, approximately 1 and 1/2 inch of the common femoral artery was dissected free and encircled with the help of vessiloops, a second identical incision was made on the left side of the palpable pulsation of the left femoral artery. Skin and subcutaneous tissues were cut in the line of incision and bleeding points encountered were coagulated with the help of Bovie. Common femoral artery was dissected free and encircled with the help of vessiloops, 5000 units of heparin were given intravenously both the vessels were entered using 18 gauge angiocath and 0.035 glide wires were placed on both sides, 7 french sheath was placed. Angiograms were performed from both sides to identify the iliac anatomy, they looked like normal non-tortuous fairly large sized iliac arteries. At this time the guide wire was advanced superiorly into the aorta using a five french guide and angioscan an angiogram was performed. We identified the openings of both renal arteries and the aneurysm was clearly identified and so was the bifurcation. A marker...
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