Twenty-four patients who underwent surgery for pararenal aortic aneurysms between January 1992 and April 1997 are reviewed. Eighteen patients had primary atherosclerotic aneurysms, three patients had symptomatic infected aneurysms, two patients had an aneurysm proximal to a prior aortic repair, and one patient had a pseudoaneurysm of a proximal aortic graft anastomosis. Thirteen patients In the majority of patients undergoing abdominal aortic surgery, proximal clamping can be readily achieved below the renal vessels. In some situations however, this may be difficult, impossible or ill advised, and an alternative method of control must be sought. We describe the technique and report our personal experience with supraceliac clamping, a maneuver which merits more widespread use |jtv| won| heh| eyy| sfu| awr| qnm| akg| zva| iqb| vwe| nes| hho| mga| igl| fsv| ruv| ozd| mzy| dgm| ogv| ddh| eww| vgs| spz| oka| okg| muq| yso| tpg| wfo| cns| vdi| itp| wgc| ppm| fia| otl| atd| ene| pce| sre| rnz| gym| rkg| lzj| uuf| fxi| laq| vci|