Infrarenal Abdominal Aortic Aneurysm

Simon De Freitas; Nicole D'Ambrosio; Javairiah Fatima

doi:10.1016/j.suc.2023.05.001

Infrarenal Abdominal Aortic Aneurysm

Surg Clin North Am. 2023 Aug;103(4):595-614. doi: 10.1016/j.suc.2023.05.001. Epub 2023 Jun 9.

Authors

Simon De Freitas¹, Nicole D'Ambrosio¹, Javairiah Fatima²

Affiliations

¹ Department of Vascular Surgery, Georgetown University Hospital, MedStar Health, Washington, DC, USA.
² Department of Vascular Surgery, Georgetown University Hospital, MedStar Health, Washington, DC, USA. Electronic address: Javairiah.Fatima@MedStar.net.

PMID: 37455027
DOI: 10.1016/j.suc.2023.05.001

Abstract

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.

Keywords: Abdominal aortic aneurysm; Endovascular; Open repair.

Publication types

Review

MeSH terms

Aged
Aorta
Aortic Aneurysm, Abdominal* / diagnosis
Aortic Aneurysm, Abdominal* / surgery
Aortic Rupture* / diagnosis
Aortic Rupture* / etiology
Aortic Rupture* / surgery
Blood Vessel Prosthesis Implantation* / methods
Endovascular Procedures*
Female
Humans
Male
Risk Factors
Treatment Outcome