Giant abdominal aortic aneurysms

Authors :: Joshua I. Ng, BSE
Tuong Nguyen, MD
Anand Tarpara, MD
Dawn Salvatore, MD, FACS
Paul DiMuzio, MD, FACS
Babak Abai, MD, FACS
Source :: Journal of Vascular Surgery Cases and Innovative Techniques, Vol 7, Iss 4, Pp 659-664 (2021)
Publication Year :: 2021
Publisher :: Elsevier, 2021.
Abstract: Giant abdominal aortic aneurysms (AAAs) are defined as AAAs >10 to 13 cm in the maximum transverse diameter. We have described a case of a patient who had presented for open repair of an 18-cm AAA and a review of reported cases of giant AAAs >10 cm in the maximum transverse diameter. Forty cases were compiled. The average maximum AAA diameter was 14.5 ± 4.1 cm. The AAA was ruptured on presentation in 12 patients (30%). Of the 40 cases, 34 (85%) were repaired with open surgery. The reported mortality was 15%. Despite the case complexity, five endovascular repairs were attempted.