Conversion from endovascular aortic repair (EVAR) to open repair is a surgical procedure necessitated by various factors, such as anatomical complexities, device-related complications, or inadequate sealing of the aortic aneurysm. This conversion involves transitioning from a minimally invasive approach to a more invasive open surgical technique, typically requiring a larger incision and direct manipulation of the aorta. While EVAR offers advantages like reduced recovery time and lower morbidity compared to open repair, conversion may be warranted to address specific issues, ensure proper sealing, or manage complications such as endoleaks. Open repair allows for direct visualization and precise repair of the aortic pathology, albeit with potentially longer hospital stays and increased risks associated with traditional surgery. The decision to convert from EVAR to open repair is made based on careful evaluation of patient factors, anatomy, and intraoperative findings, with the goal of achieving optimal outcomes and preventing future complications.
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