ABDOMINAL AORTIC-ANEURYSMS

The management of abdominal aortic aneurysms has undergone tremendous evolution during the past three decades, resulting in significant advances in our ability to diagnose and safely treat patients with aneurysms. Over the past several years, most research interest has been focused on the etiology of aneurysmal disease, new imaging techniques, cardiac risk stratification, and new approaches for treatment. This article reviews the current approach to diagnosing and treating patients with abdominal aortic aneurysms as well as the results which may be anticipated. In stark contrast to the treatment of nonruptured aortic aneurysms, little progress has been made in the management of ruptured aneurysms, which remain highly lethal. Early identification, prompt evaluation, and surgical repair remain the most important elements in preventing mortality.