Infected native AAA with duodenal erosion: We separated the adherent erosed duodenum, followed by en bloc resection of the entire aneurysm and aortoiliac segment to achieve radical debridement. #AortaEd
Endovascular therapy has transformed aortic surgery. But open surgery remains the ultimate bailou and the ability to perform complex open reconstruction still matters.
The Society for Vascular Surgery mourns the passing of Bruce A. Perler, MD, MBA, FACS, DFSVS, a past president of SVS and a leader whose contributions helped shape the future of vascular surgery.
During his 44-year tenure as a surgeon at The Johns Hopkins Hospital, Dr. Perler established the Division of Vascular Surgery and Endovascular Therapy. He trained generations of surgeons in the art and science of vascular surgery. His humble demeanor, prodigious skill and evident mastery are cherished by all the Halsted residents who knew him and live on as his legacy in American surgery.
Dr. Perler was internationally recognized for his clinical expertise in carotid arterial disease, having delivered nearly 400 lectures nationally and internationally. His hundreds of publications, research and chapters have been cited over 12,000 times.
In addition, he served as Senior Editor of the Journal of Vascular Surgery, co-edited three editions of Rutherford’s Vascular Surgery and Endovascular Therapy and held leadership roles with the American Board of Surgery and several vascular societies.
Dr. Perler received the 2025 SVS Lifetime Achievement Award, the Society’s highest honor, recognizing a career defined by exceptional clinical care, academic leadership and enduring contributions to the advancement of vascular surgery. This was his third lifetime achievement awarded by his colleagues in surgical and interventional societies, a fitting tribute for a career that reflected not only clinical excellence and international leadership, but a deep understanding of the evolution of the field of vascular surgery over the past decades.
Dr. Perler is survived by his wife Patti and his daughter Rachel. His son Mason passed away in 2024. SVS extends its deepest condolences to his family, friends and colleagues.
Proud to mentor 3rd year medical student Gerard Martin to his first VAM poster presentation on “Temporal Trends in Demographics Among General and Vascular Surgery Applicants and Trainees.”
He did a fantastic job from start to finish - bravo Gerard!
#VAM26#mentorship#MedEd
Proud week for the CHICKS Lab 🐥 at #VAM2026.
Multiple presentations, great discussions, new collaborations, and updates on our NIH-funded #WIREDUP trial.
Most importantly, another reminder that developing the next surgeon-scientists is among the most important things we do.
I sometimes receive CT scans from colleagues overseas and am consulted on various cases involving aortic disease. In those situations, I often create my own sketches to think through the surgical approach. Before the operation, I visualize the three-dimensional structure of the aorta in my mind, and use my drawings as a basis for identifying the optimal clamping sites, perfusion points, and potential pitfalls. I firmly believe that this kind of mental and visual preparation is an invaluable part of surgical practice.
Today we honor a giant in surgery. Over four decades of service to both Johns Hopkins @hopkinssurgery and the field of vascular surgery. You are a true inspiration Dr. Perler! #ThisIsHowWeVascular
Dr. Eric Finnesgard sharing his thoughts on what it takes to become a modern complex aortic surgeon. Training the Next Generation of Aortic Specialists on @EVToday https://t.co/vAsY35l8T2
In this case report, A. Pochettino, MD & other experts discuss ascending aorta to iliac artery bypass in coral reef aorta w/multidrug resistant hypertension & worsening renal function:
#JournalofVascularSurgeryCasesInnovationsandTechniques
https://t.co/qb0fVncZAk
"Durable treatment is mandatory for aortic diseases"- Insight from Prof. Morad's visit to KAC
Today: A patient deemed "cured" after TEVAR at a university hospital.
Reality: 80mm aortic aneurysm requiring emergency open surgery.
The issue isn't the device—TEVAR is excellent for appropriate cases.
The issue is system failure: Complex cases in young patients need referral to centers capable of durable open repair BEFORE attempted endovascular "solutions."
"Can do" ≠ "Should do"
We need courage to choose the RIGHT treatment, not just the AVAILABLE treatment.
We need courage to refer patients to appropriate centers.
This is what patient-centered care truly means.
600 open TAAA cases/year taught me this lesson repeatedly.
#AorticSurgery #TEVAR #OpenRepair #DurableTreatment