Long-Term Prognosis After Elective Abdominal Aortic Aneurysm Repair Is Poor in Women and Men

The Challenges Remain

Ruth M. A. Bulder, Bsc; Mareia Talvitie, MD; Esther Bastiaannet, PhD; Jaap F. Hamming, MD, PhD; Rebecka Hultgren, MD, PhD; Jan H. N. Lindeman, MD, PhD


Annals of Surgery. 2020;272(5):773-778. 

In This Article


Elective AAA management aims at preventing premature aneurysm-related death and prolonging survival of AAA patients. Over the past 2 decades changes in AAA management have clearly improved short-term outcomes and contributed to a broader spectrum of patients eligible for repair. Despite these short-term improvements there persists a profound overall long-term survival disadvantage of patients who undergo elective AAA repair, specifically in female patients. This suggests that overall mortality of AAA patients is not affected by type of procedure but rather by existing comorbidities. The persistent high (non-AAA related) long-term mortality calls for further intensification of cardiovascular risk management and a critical appraisal of the excess mortality of AAA patients.