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The CPT® Code 34830 refers to the open surgical repair of an infrarenal aortic aneurysm or dissection, which is a serious condition characterized by the abnormal dilation or tearing of the aorta located just below the renal arteries. This procedure is specifically indicated when previous attempts at endovascular repair have been unsuccessful. Endovascular repair is a minimally invasive technique that may lead to complications such as endoleaks, dissection, or occlusion of major aortic branches, which can compromise blood flow to the aorta or iliac regions. The open repair involves a more invasive approach, requiring an abdominal incision to access the aorta and associated vessels. During the procedure, the surgeon will remove any thrombus and lodged pieces of the endograft, ensuring that the prosthesis is securely sutured to the healthy sections of the aorta. This comprehensive approach aims to restore normal vascular flow and address any arterial trauma that may have occurred as a result of the aneurysm or previous repair attempts.
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