Abdominal Aortic Aneurysm

You Sun Hong

doi:10.5124/jkma.2009.52.10.1020

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Hong: Abdominal Aortic Aneurysm

Continuing Education Column

Journal of the Korean Medical Association

Journal of the Korean Medical Association 2009; 52(10): 1020-1029.

Published online: 31 October 2009

DOI: https://doi.org/10.5124/jkma.2009.52.10.1020

Abdominal Aortic Aneurysm

You Sun Hong, MD

Department of Thoracic and Cardiovascular Surgery, Ajou University College of Medicine, Korea. yshongjin@ajou.ac.kr

Abstract

Abdominal aortic aneurysm is a common disease that may be lethal when ruptured. A need for the repair is indicated when the aneurysm becomes greater than 5.5 cm in diameter or grows more than 0.6 cm per year. While open surgical repair has been performed safely, an endovascular approach is used in select patients if the aortic and iliac anatomy are amenable. The present review summarizes the knowledge of the pathophysiological incidence and risk, as well as current treatment strategies of AAA on the basis of current literatures.

Keywords: Aneurysm, Aortic operation, Endovascular procedures/stents

Figures and Tables

Table 1

Estimated annual rupture risk

AAA: Abdominal aortic aneurysm

Table 2

Rupture risk

COPD: chronic obstructive pulmonary disease

Table 3

Operative mortality risk of open AAA repair

Table 4

Size dependent therapeutic management for asymptomatic AAA

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