Open Abdominal Aortic Aneurysm Repair: Hemodynamics of Supraceliac vs Infrarenal Cross-Clamping

Document Type

Conference Proceeding - Restricted Access

Publication Date



A 77-year-old male who underwent endovascular abdominal aortic aneurysm repair in 2013 developed type 1A-endoleak which led to an infrarenal aneurysm and distal migration of the original endograft. The patient required explantation of the aortic endograft with a direct open repair. Intraoperatively, cross-clamping of the aorta was changed from infrarenal to supraceliac in order to adequately expose and replace the original graft. This case will discuss the pathophysiologic derangements and hemodynamic goals determined by the level of aortic cross-clamping, associated risks, and therapeutic options utilized to decrease complications during aortic surgical procedures.


American Society of Anesthesiology Annual Meeting, San Diego, CA, October 8-12, 2021.