Repair of Abdominal Aortic Aneurysms JACC Focus Seminar, Part 1

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 followup. 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. (C) 2022 Published by Elsevier on behalf of the American College of Cardiology Foundation.

Automated summary

Abdominal aortic aneurysms (AAAs) are defined as aortic dilation greater than 3 cm and affect over 1 million people in the United States. Risk factors for AAA include male sex, family history, smoking, Caucasian ethnicity, and age. Regular ultrasound surveillance is recommended for patients with known AAA. Medical management, including smoking cessation and blood pressure control, is recommended for asymptomatic patients who do not meet the intervention threshold. Repair options include endovascular and open surgical repair with good long-term outcomes. Elective repair is generally recommended for men with AAA greater than 5.5 cm and women with AAA greater than 5.0 cm.