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The CPT® Code 34832 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 lower extremities. In this open repair procedure, a surgical incision is made in the abdomen to access the aorta and the iliac and femoral vessels. The surgeon then removes any thrombus and lodged pieces of the endograft, followed by the placement of a prosthetic graft to restore normal blood flow. The procedure is comprehensive, addressing both the aneurysm and any associated arterial trauma, ensuring that the vascular integrity is maintained and that blood flow is reestablished effectively.
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