RT Book, Section
A1 Ellison, E. Christopher
A1 Zollinger, Jr., Robert M.
A1 Pawlik, Timothy M.
A1 Vaccaro, Patrick S.
A1 Bitans, Marita
A1 Baker, Anthony S.
SR Print(0)
ID 1187824396
T1 Resection of Abdominal Aortic Aneurysm
T2 Zollinger’s Atlas of Surgical Operations, 11e
YR 2022
FD 2022
PB McGraw-Hill Education
PP New York, NY
SN 9781260440850
LK accesssurgery.mhmedical.com/content.aspx?aid=1187824396
RD 2024/04/18
AB Aneurysms  of  the  abdominal  aorta  occurring  distal  to  the  renal  arteries  should,  in  general,  be  replaced.  This  is  particularly  true  if  they  are  enlarging,  5.5  cm  or  greater  in  males  and  5.0–5.4  cm  or  greater  in  females,  producing  pain,  or  if  there  is  evidence  of  impending  or  actual  rupture.  In  poor-risk  patients  with  small  aneurysms  less  than  5  cm  in  diameter,  observation  may  be  the  better  course.  Many  aneurysms  are  corrected  by  endovascular  techniques,  but  an  open  operative  approach  is  acceptable  and  sometime  a  necessary  alternative.  Although  the  operation  is  of  considerable  magnitude,  anticipated  mortality  associated  with  spontaneous  rupture  and  exsanguination  from  an  aneurysm  is  such  as  to  warrant  the  risk  of  surgery  in  the  great  majority  of  patients.  Emergency  operations  may  offer  the  only  chance  of  a  patient's  survival  if  there  is  evidence  of  leakage  or  rupture  of  the  aneurysm.  A  past  history  of  coronary  artery  disease  is  not  a  contraindication  to  surgery.