Repair of Abdominal Aortic Aneurysms: JACC Focus Seminar, Part 1

Sara E Hensley; Gilbert R Upchurch Jr

doi:10.1016/j.jacc.2022.04.066

Repair of Abdominal Aortic Aneurysms: JACC Focus Seminar, Part 1

J Am Coll Cardiol. 2022 Aug 23;80(8):821-831. doi: 10.1016/j.jacc.2022.04.066.

Authors

Sara E Hensley¹, Gilbert R Upchurch Jr²

Affiliations

¹ Department of Surgery, University of Florida College of Medicine, Gainesville, Florida, USA. Electronic address: sara.hensley@surgery.ufl.edu.
² Department of Surgery, University of Florida College of Medicine, Gainesville, Florida, USA.

PMID: 35981826
DOI: 10.1016/j.jacc.2022.04.066

Abstract

Abdominal aortic aneurysms (AAAs), defined by an aortic diameter >3 cm, affect >1 million people in the United States. Risk factors for AAA include male sex, family history of AAA, smoking, Caucasian ethnicity, and age. Patients with known AAA should undergo regular surveillance via ultrasonography. Medical management, including smoking cessation and blood pressure management, is recommended for asymptomatic patients who do not meet the threshold for intervention. Repair options include endovascular aortic repair and open surgical repair, with good outcomes in long-term follow-up. Men with AAA >5.5 cm and women with AAA >5.0 cm in general should undergo elective repair. Medical management, including smoking cessation and blood pressure management, is recommended for asymptomatic patients who do not meet the threshold for intervention.

Keywords: AAA; EVAR; abdominal aortic aneurysm; aorta pathology; endovascular aortic repair.

Publication types

Review

MeSH terms

Aortic Aneurysm, Abdominal* / diagnostic imaging
Aortic Aneurysm, Abdominal* / epidemiology
Aortic Aneurysm, Abdominal* / surgery
Blood Vessel Prosthesis Implantation*
Elective Surgical Procedures
Female
Humans
Male
Retrospective Studies
Risk Factors
Treatment Outcome
Ultrasonography
United States