Excision of aortic aneurysmal sac extending above the origin of the renal arteries and replacement with a synthetic graft. May involve thoracotomy and the need for one lung ventilation
Time
3–6hr
Pain
++++
Position
Supine, arms out (crucifix), may be R lateral if thoracotomy
Blood loss
1000ml–+++, X-match 8U, plus platelets and FFP
Practical techniques
DLT + IPPV, art + CVP lines. Thoracic epidural
Procedure
Excision of aortic aneurysmal sac extending above the origin of the renal arteries and replacement with a synthetic graft. May involve thoracotomy and the need for one lung ventilation
Time
3–6hr
Pain
++++
Position
Supine, arms out (crucifix), may be R lateral if thoracotomy