Management of Pararenal Aortic Aneurysms : A Literature Review

Ibrahim, Hilman
muradi, akhmadu
Fachriza, Ihza

The New Ropanasuri Journal of Surgery

Abdominal aortic aneurysms (AAA) are the most common group of aortic aneurysms. Pararenal aortic aneurysm (PAA) is a classification of AAA where there is no normal aortic segment between the renal artery and the proximal border of the aneurysm. This group has a prevalence of around 20% of all AAA cases. In open repair (open surgery), PAA requires suprarenal clamps or even supraceliac which causes high morbidity. In endovascular procedures, PAA presents difficulties due to the absence of a landing zone to place the graft and the possibility of reintervention after action. A literature review is needed to discuss the strengths and weaknesses of each treatment. A review enrolling 7 focused on endovascular procedures for PAA and outcomes including mortality and morbidity with long-term follow-up