Which Patients Can Be Treated Medically, and Who Needs Surgical Intervention?

Brit Long, Alex Koyfman

Research output: Chapter in Book/Report/Conference proceedingChapter


Ruptured abdominal aortic aneurysm (AAA) is associated with nearly 100% mortality when left untreated. If a patient presents with an AAA rupture, emergent surgery is required. Patients with symptoms from an unruptured AAA require urgent surgery. Patients with an AAA > 5.5 cm, peripheral artery disease, peripheral arterial aneurysm, or rapid expansion of AAA should undergo elective repair. Surgical options include open repair and endovascular repair. Patients who do not meet criteria for repair should receive counseling on risk factor modification, including tobacco cessation, exercise, blood pressure and cholesterol management, and antiplatelet therapy.

Original languageEnglish (US)
Title of host publicationGastrointestinal Emergencies
Subtitle of host publicationEvidence-Based Answers to Key Clinical Questions
PublisherSpringer International Publishing
Number of pages2
ISBN (Electronic)9783319983431
ISBN (Print)9783319983424
StatePublished - Jan 1 2019


  • Abdominal aortic aneurysm
  • Endovascular repair
  • Medical
  • Open repair
  • Surgical

ASJC Scopus subject areas

  • Medicine(all)


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