Small aneurysms of abdominal aorta – is it time to change our approach?


Authors: P. Vařejka;  A. Linhart
Published in: Kardiol Rev Int Med 2010, 12(4): 171-174
Category: Angiological Symposium

Overview

Abdominal aortic ­aneurysm is a serious vascular disease, typically occurring in men over 60 years of age with a history of active smoking. The condition is associated with a risk of rapture that is fatal in 90% of cases. At present, there is a consensus with respect to indicating abdominal aortic aneurysms with a maximum diameter of 55 mm or more for surgery or endovascular intervention. Smaller aneurysms are usually managed conservatively with a surgery planned for the time when the diameter of 55 mm is reached or if the rate of aneurysm sac expansion is 1 cm per 12 months. This approach is based on the results of randomized studies where open surgery was the only alternative treatment modality used. Endovascular techniques, burdened by fewer procedural complications, are fast finding their place in the treatment of these patients and, consequently, patients with smaller aneurysm diameters could profit from an early intervention.

Keywords:
abdominal aortic aneurysm – stent-graft – open surgery


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Labels
Paediatric cardiology Internal medicine Cardiac surgery Cardiology
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