Renal protection in juxtarenal and suprarenal aortic aneurysm surgery

Among the most important factors driving morbidity and mortality after aortic surgery is post operative renal insufficiency. The attendant metabolic derangements greatly complicate surgical care, expedite arrhythmias, and can significantly prolong hospital stay and cost. This article seeds to define factors contributory to renal complications after aortic surgery and offers a review of techniques to protect renal mass from post operative declines.