Management of aneurysms that involve the juxtarenal or suprarenal aorta.

Juxtarenal and suprarenal aneurysms are being seen with increasing frequency as CT and magnetic resonance imaging expand the examination of the aorta. Careful exposure of the suprarenal aorta, either by a direct anterior transperitoneal or an extraperitoneal approach, facilitates repair of the aneurysms. Direct graft replacement can then be performed with low morbidity and mortality rates.