Abstract
Background: Superior mesenteric artery (SMA) and infrarenal major vessel dissection is the next step after the Cattel–Braasch manoeuvre, which consists of dissection, in the retroperitonem, of the following vessels and structures: infrarenal aorta, inferior vena cava (IVC), SMA, inferior mesenteric artery (IMA), inferior mesenteric vein (IMV), celiac trunk and plexus and iliac vessels on both sides. Abdominal aorta and IVC are encircled with long, thick ligatures and the left renal vein with the vessel loop. During the retroperitoneum inspection, special attention has to be paid to the quality of the abdominal aorta and any vascular abnormality.
Conclusion: SMA and infrarenal major vessel dissection and retroperitoneum inspection are some of the most important steps before aorta and IVC cannulation.
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Baranski, A. (2008). Infrarenal and Superior Mesenteric Artry Major Vessel Dissection. In: Surgical Technique of the Abdominal Organ Procurement. Springer, London. https://doi.org/10.1007/978-1-84800-251-7_6
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DOI: https://doi.org/10.1007/978-1-84800-251-7_6
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