What are the treatment options for abdominal aortic aneurysm (AAA)?

Updated: Jan 08, 2019
  • Author: Saum A Rahimi, MD, FACS; Chief Editor: Vincent Lopez Rowe, MD  more...
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Answer

Treatment of abdominal aortic aneurysms (AAAs) consists of surgical repair. When indicated, an unruptured aneurysm can undergo elective surgical repair; a ruptured AAA calls for emergency repair. Possible approaches include the traditional open laparotomy, newer minimally invasive methodologies, and the placement of endovascular stents.

Surgical repair should be performed as expeditiously as possible by an experienced surgeon. An unstable patient with AAA should be transferred only if the sending facility is incapable of operative care. Personnel skilled at resuscitation should accompany the transfer. Consideration can be given to transferring stable asymptomatic patients after appropriate imaging studies have excluded rupture, expansion, or leak.


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