A two-layer "telescoping" proximal anastomosis for repair of juxtarenal abdominal aortic aneurysms

A two-layer proximal aortic anastomosis for juxtarenal abdominal aortic aneurysm resulting in satisfactory "match" between Dacron graft and aorta is obtained. With this technique we are able to avoid additional suture and carotid bleeding from the suture line. Follow-up aortograms and computerized tomography of the aorta have shown complete exclusion of aneurysmal portion of juxtarenal aorta.