Débridement of atheroma in the proximal clamp site under hypothermic circulatory arrest for repair of abdominal aortic aneurysm with severe atherosclerosis

Postoperative renal and other ischemic complications due to atheroembolization after clamping of the proximal site of an abdominal aortic aneurysm are catastrophic. We present here a method of débridement of atheroma and clamping under hypothermic circulatory arrest to avoid iatrogenic atheroembolization