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An open operation for someone who has good cardiopulmonary heart and lung function is always an option. And that involves an incision in the chest, or the abdomen, or sometimes both. It requires an operative exposure of the aorta. It requires clamps to stop the blood flow in the aorta. And it requires a prosthetic or artificial fabric graft sewn in to replace the aorta. Open aneurysm repair is very durable. We know that it s very durable, but it comes with some upfront cost in terms of the potential complications because it s a bigger procedure than a stent graft procedure would be. All the branches that go to the kidneys, the liver, the intestines, the extremities are all part of the aorta. And so the complications of an open aortic operation are directly related to how much and where the graft is going to need to go in and how much aorta is going to need to be clamped and replaced. Open aortic surgery usually requires several months of rehabilitation and recovery. Most people feel ba
