What is a juxta renal aortic aneurysm repair?

is a juxtarenal aortic aneurysm repair? So the majority of aneurysms, probably over 90% are infarenal which means that they are below the renal arteries. Juxtarenal or pararenal means that the extent of the aneurysm goes above the renal arteries and this means that they're more challenging to repair because you need to think about what to do about that segment. Most repairs are done whether endovascular or open and not involving the renal arteries at all, whereas when the aneurysm extends to above, there are effectively two options to treat them. As with infernal aneurysms, it's open or endovascular, so an open repair will be pretty similar in terms of its approach to a standard infernal one, except that the clamp which needs to be placed to allow repair of the aneurysm must be above the renal arteries and the kidneys are organs which require quite a lot of blood flow and oxygen so clamping above the renal arteries for more than 40 minutes almost inevitably will cause some degree of renal damage due to reduced blood flow so effectively the technical steps are the same but there is an increased risk of temporary or permanent damage to the kidneys in this operation. The endovascular method of repair is using a fenestrated stent graft which is like a normal endovascular stent graft except it has small holes in the side and the front and those are aligned with the visible branches in in order to allow placenta stents into those vessels. Depending on which center that you're treated in and certainly your fitness levels, then it might mean that the surgeons that are treating you will opt for one or the other. But generally speaking, there will be a discussion about that and various assessments before one method of treatment is decided on.