Reinforcement with EndoGIA™ to Prevent Blow-out of the Aortic Stump

A Technical Tip of Aortic Stump Reinforcement with Plication of the Falciform Ligament of the Liver

“…5 Different techniques have been proposed for reinforcement of the closure of the aortic stump, the most common and traditional being the use of a pedicle of omentum around the stump. 6,7 Other techniques used to enhance the mechanical integrity of the stump include the coverage with prevertebral fascia or anterior spinal ligament, 8 the use of a pedicle of the jejunal wall, 9 the use of fibrin glue, 9 the closure of the stump with a linear stapler, 10 and iliac plugs or Amplatzer plugs. 11,12 We used the falciform ligament to reinforce the aortic stump, as we found the aortic sutures to be loose during reoperation.…”