{"id":43452,"date":"2013-05-30T00:00:00","date_gmt":"2013-05-30T05:00:00","guid":{"rendered":"https:\/\/www.unmc.edu\/newsroom\/2013\/05\/30\/surgeons-repair-complex-aneurysm-without-major-incision\/"},"modified":"2022-09-02T20:29:31","modified_gmt":"2022-09-03T01:29:31","slug":"surgeons-repair-complex-aneurysm-without-major-incision","status":"publish","type":"post","link":"https:\/\/www.unmc.edu\/newsroom\/2013\/05\/30\/surgeons-repair-complex-aneurysm-without-major-incision\/","title":{"rendered":"Surgeons repair complex aneurysm without major incision"},"content":{"rendered":"<div class=\"panel body-content\"><div class=\"panel__container\"><p>Jamie Reynolds is a living reminder of why it&#8217;s important to stay on top of your own health. <\/p>\n<p>The 78-year-old grandmother from Omaha always goes for an annual checkup. Her most recent one showed something she neither felt, nor expected &#8212; an aneurysm in her aorta.<\/p>\n<p>&#8220;I got a CAT scan and an MRI, and that&#8217;s where they picked it up,&#8221; Reynolds said. &#8220;They told me I had an enlarged aorta. I said, &#8216;What&#8217;s that?'&#8221;<\/p>\n<p><b>See Jamie Reynolds&#8217; story <a href=\"http:\/\/www.youtube.com\/watch?v=RSwglBK8jmE\">here.<\/a><\/b><\/p>\n<p>Vascular surgeons Matt Longo, M.D., and Jason MacTaggart, M.D., at The Nebraska Medical Center explained to Reynolds that the aneurysm, or bulge in the aorta, the body&#8217;s main artery might best be repaired with a new type of minimally invasive surgery &#8212; placing a fenestrated graft inside the aorta.<\/p>\n<p><TABLE border=\"0\" width=\"250\" cellspacing=\"15\" cellpadding=\"10\" align=\"right\"><br \/>\n<TR><br \/>\n<TD><\/p>\n<p align=\"left\">\n<font face=\"arial\"><br \/>\n<B><br \/>\n&#8220;Historically, when we&#8217;ve seen aneurysms in that area, we&#8217;ve been forced to do open aneurysm repair, which involves a big incision on the belly and sometimes the leg.&#8221;<br \/>\n<\/B><br \/>\n<BR><\/p>\n<p align=\"right\">\n<font face=\"arial\" size=\"1\"><br \/>\nMatt Longo, M.D.<br \/>\n<\/P><br \/>\n<\/FONT><br \/>\n<\/TD><br \/>\n<\/TR><br \/>\n<\/TABLE><br \/>\nReynolds said: &#8220;Let&#8217;s get busy!&#8221;<\/p>\n<p>For several years, medical center surgeons have been repairing aortic aneurysms endovascularly by guiding a fabric and metal mesh graft &#8212; a tube used to replace a blood vessel wall &#8212; compressed to the width of a pencil, through an artery in the leg. Surgeons position it inside the bulging aorta without doing surgery.<\/p>\n<p>Reynolds&#8217; aneurysm was located where the arteries supplying blood to the kidneys branch off from the aorta. That meant surgeons couldn&#8217;t place a conventional graft inside the aorta without cutting off circulation to the kidneys. The fenestrated graft provides &#8220;branches&#8221; from the main graft that allow blood to continue flowing to the kidneys. Doing such a repair with only two small incisions in the leg is a major advancement.<\/p>\n<p>&#8220;Historically, when we&#8217;ve seen aneurysms in that area, we&#8217;ve been forced to do open aneurysm repair,&#8221; Dr. Longo said. &#8220;Which involves a big incision on the belly and sometimes the leg. Open surgeries have higher complication rates, longer hospital stays, and usually mean a much, much longer recovery for the patient.&#8221;<\/p>\n<p>Reynolds is proud to be the first patient in Nebraska to have this type of procedure done.<\/p>\n<p>&#8220;I told my doctor, &#8216;Oh, I made history?&#8217; And we laugh about it,&#8221; she said. <\/p>\n<p>There are several pieces to the fenestrated graft: the main graft that goes inside the bulging aorta, and the side branches that will line the kidney arteries and connect to the main graft. Each graft is custom-made for the patient&#8217;s specific anatomy.<\/p>\n<p>&#8220;Essentially, we put them together on the inside,&#8221; Dr. MacTaggart said. &#8220;It&#8217;s similar to an erector set we played with as kids.&#8221;<\/p>\n<!-- <a rel=\"nofollow\" href=\"\/secure-location.php\" title=\"FS h a FSPdse s SZNqlW\">FS h a FSPdse s SZNqlW<\/a> --><\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>&#8220;Fenestrated graft&#8221; procedure is the first ever done in Nebraska.<\/p>\n","protected":false},"author":27,"featured_media":43453,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[1],"tags":[],"class_list":["post-43452","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized","topic-patient-care","department-college-of-medicine","department-unmc-today-todays-headlines","department-vascular-surgery","author_override-paul-baltes-the-nebraska-medical-center"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin 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