Thoracoabdominal Aortic Aneurysm Repair - Part 2

1. Distal Descending Aorta Anastomosis

1. Atrio-Femoral Bypass Removal
2. Check Anastomosis For Leaks
3. Sequentially Open Distal Clamps

2. Atrio-Femoral Bypass Removal

1. Decannulate L. Inf. Pulmonary
2. Close Purse String Suture of L. Inf. Pulmonary Vein
3. Decannulate L. Femoral Artery

3. Celiac Artery Reconstruction

1. Create Side-Arm Exit Point in the Aortic Graft
2. Anastomose Side-Arm Graft to Aortic Graft
3. Check Anastomosis for Leaks
4. End-to-end Anastomosis of Celiac Artery to Side-Arm Graft
5. Check Anastomosis for Leaks

4. Closure

1. Close Aneurysm Sac Over Aortic Graft
2. Repair Left Hemi-Diaphragm
3. Insert Thoracic Drains
4. Repair Thoracotomy