Aortic aneurysms of the abdominal aorta are often seen in very sick patients in our clinics in public hospitals Many times they are not suitable for the operations due to systemic problems. Endorepairs are expensive and they are not done in many public hospitals run by the governments. These are the images of the patient with symptomatic supra renal AAA involving the visceral branches. The aortic patch with all these branches was anastomosed to another graft from the main stem. The aneurysm cavity shows the erosion of the vertebral bodies. The inter vertebral discs between the eroded vertebral bodies are seen in cavity. This is due to the late presentation of the patients which is common in people who are not able to get the interventions at an early stage.
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