Infrarenal Abdominal Aortic Aneurysm. [Review]

MedStar author(s):
Citation: Surgical Clinics of North America. 103(4):595-614, 2023 Aug.PMID: 37455027Institution: MedStar Washington Hospital CenterDepartment: Surgery/Vascular Surgery | Vascular Surgery Integrated ResidencyForm of publication: Journal ArticleMedline article type(s): Journal Article | ReviewSubject headings: *Aortic Aneurysm, Abdominal | *Aortic Rupture | *Blood Vessel Prosthesis Implantation | *Endovascular Procedures | Aged | Aorta | Aortic Aneurysm, Abdominal/di [Diagnosis] | Aortic Aneurysm, Abdominal/su [Surgery] | Aortic Rupture/di [Diagnosis] | Aortic Rupture/et [Etiology] | Aortic Rupture/su [Surgery] | Blood Vessel Prosthesis Implantation/mt [Methods] | Female | Humans | Male | Risk Factors | Treatment Outcome | Year: 2023ISSN:
  • 0039-6109
Name of journal: The Surgical clinics of North AmericaAbstract: Abdominal aortic aneurysms are found in up to 6% of men and 1.7% of women over the age of 65 years and are usually asymptomatic. The natural history of aortic aneurysms is continued dilation leading to rupture, which is associated with an overall 80% mortality. Of the patients with ruptured aneurysms that undergo intervention, half will not survive their hospitalization. Reduction in aneurysm mortality is therefore achieved by prophylactic repair during the asymptomatic period. On a population-based level, this is supported by abdominal aortic aneurysm screening programs. Approximately 60% of abdominal aortic aneurysms are confined to the infrarenal portion of the aorta and are amenable to repair with off-the-shelf endovascular devices. Endovascular techniques have now replaced open surgery as the primary modality for aneurysm repair. Copyright © 2023 Elsevier Inc. All rights reserved.All authors: D'Ambrosio N, De Freitas S, Fatima JFiscal year: FY2024Digital Object Identifier: Date added to catalog: 2023-08-15
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Abdominal aortic aneurysms are found in up to 6% of men and 1.7% of women over the age of 65 years and are usually asymptomatic. The natural history of aortic aneurysms is continued dilation leading to rupture, which is associated with an overall 80% mortality. Of the patients with ruptured aneurysms that undergo intervention, half will not survive their hospitalization. Reduction in aneurysm mortality is therefore achieved by prophylactic repair during the asymptomatic period. On a population-based level, this is supported by abdominal aortic aneurysm screening programs. Approximately 60% of abdominal aortic aneurysms are confined to the infrarenal portion of the aorta and are amenable to repair with off-the-shelf endovascular devices. Endovascular techniques have now replaced open surgery as the primary modality for aneurysm repair. Copyright © 2023 Elsevier Inc. All rights reserved.

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