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J Korean Med Assoc > Volume 52(10); 2009 > Article
Hong: Abdominal Aortic Aneurysm

Abstract

Abdominal aortic aneurysm is a common disease that may be lethal when ruptured. A need for the repair is indicated when the aneurysm becomes greater than 5.5 cm in diameter or grows more than 0.6 cm per year. While open surgical repair has been performed safely, an endovascular approach is used in select patients if the aortic and iliac anatomy are amenable. The present review summarizes the knowledge of the pathophysiological incidence and risk, as well as current treatment strategies of AAA on the basis of current literatures.

References

1. Silverber E, boring CC, squires TS. Cancer statistics. Cancer 1990;40:9-26.

2. Kim YW. Report of nation-wide questionaire survey for abdominal aortic anourysm treatment in Korea. Korean vasc surg 2005;21:10-15.

3. Bengtsson H, Bergqvist D. Ruptured abdominal aortic aneurysm. A population-based study. J Vasc Surg 1993;18:74-80.

4. Adam DJ, Mohan IV, Stuart WP, Bain M, Bradbury AW. Community and hospital outcome from ruptured abdominal aortic aneurysm within the catchment area of a regional vascular surgical service. J Vasc Surg 1999;30:922-928.

5. Heikkinen M, Salenius JP, Auvinen O. Ruptured abdominal aortic aneurysm in a well-defined geographic area. J Vasc Surg 2002;36:291-296.

6. Gillum RF. Epidemiology of aortic aneurysm in the United States. J Clin Epidemiol 1995;48:1289-1298.

7. Olsen PS, Schroeder T, Agerskov K, Roder O, Sorensen S, Perko M, Lorentzen JF. Surgery for abdominal aortic aneurysms: A s urvey of 656 patients. J Cardiovasc Surg (Torino) 1991;32:636-642.

8. Crawford ES, Cohen ES. Aortic aneurysm. A multifocal disease. Presidential address. Arch Surg 1982;117:1393-1400.

9. Johnston KW, Rutherford RB, Tilson MD, Shah DM, Hollier L, Stanley JC. Suggested standards for reporting on arterial aneurysms. Subcommittee on Reporting Standards for Arterial Aneurysms. Ad Hoc Committee on Reporting Standards, Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery. J Vasc Surg 1991;13:452-458.

10. Pearce WH, Slaughter MS, LeMaire S, Salyapongse AN, Feinglass J, McCarthy WJ, Yao JS. Aortic diameter as a function of age, gender, and body surface area. Surgery 1993;114:691-697.

11. Vorp DA, Raghavan ML, Webster MW. Mechanical wall stress in abdominal aortic aneurysm. Influence of diameter and asymmetry. J Vasc Surg 1998;27:632-639.

12. Fillinger MF, Raghavan ML, Marra SP, Cronenwett JL, Kennedy FE. In vivo analysis of mechanical wall stress and abdominal aortic aneurysm rupture risk. J Vasc Surg 2002;36:589-597.

13. Halloran BG, Davis VA, McManus BM, Lynch TG, Baxter BT. Localization of aortic disease is associated with intrinsic differences in aortic structure. J Surg Res 1995;59:17-22.

14. Dobrin PB, Mrkvicka R. Failure of elastin or collagen as possible critical connective tissue alterations underlying aneurysmal dilatation. Cardiovasc Surg 1994;2:484-488.

15. Shah PK. Inflammation, metalloproteinases, and increased proteolysis: An emerging pathophysiological paradigm in aortic aneurysm. Circulation 1997;96:2115-2117.

16. Patel MI, Hardman DT, Fisher CM, Appleberg M. Current views on the pathogenesis of abdominal aortic aneurysms. J Am Coll Surg 1995;181:371-382.

17. Grange JJ, Davis V, Baxter BT. Pathogenesis of abdominal aortic aneurysm: An update and look toward the future. Cardiovasc Surg 1997;5:256-265.

18. van der Vliet JA, Boll AP. Abdominal aortic aneurysm. Lancet 1997;349:863-866.

19. Juvonen J, Juvonen T, Laurila A, Alkakarppa H, Lounatmaa K, Surcel HM, Leinonen M, Kairauoma MI, Saikku P. Demonstration of Chlamydia pneumoniae in the walls of abdominal aortic aneurysms. J Vasc Surg 1997;25:499-505.

20. Ozsvath KJ, Hirose H, Xia S, Tilson MD. Molecular mimicry in human aortic aneurysmal diseases. Ann N Y Acad Sci 1996;800:288-293.

21. Darling RCD, Brewster DC, Darling RC, LaMuraglia GM, Moncure AC, Cambria RP, Abbott WM. Are familial abdominal aortic aneurysms different? J Vasc Surg 1989;10:39-43.

22. Verloes A, Sakalihasan N, Koulischer L, Limet R. Aneurysms of the abdominal aorta: Familial and genetic aspects in three hundred thirteen pedigrees. J Vasc Surg 1995;21:646-655.

23. Blanchard JF. Epidemiology of abdomianl aortic aneurysms. Epidemiol Rev 1999;21:207-221.

24. Wilmink AB, Hubbard CS, Day NE, Quick CR. The incidence of small abdominal aortic aneurysms and the change in normal infrarenal aortic diameter: Implications for screening. Eur J Vasc Endovasc Surg 2001;21:165-170.

25. McFarlane MJ. The epidemiologic necropsy for abdominal aortic aneurysm. JAMA 1991;265:2085-2088.

26. Wilmink AB, Quick CR. Epidemiology and potential for prevention of abdominal aortic aneurysm. Br J Surg 1998;85:155-162.

27. Lee AJ, Fowkes FGR, Carson MN, Leng GC, Allan PL. Smoking, atherosclerosis and risk of abdominal aortic aneurysm. Eur Heart J 1997;18:671-676.

28. Lederle FA, Simel DL. The rational clinical examination. Does this patient have abdominal aortic aneurysm? JAMA 1999;281:77-82.

29. Jaakkola P, Hippelainen M, Farin P, Rytkonen H, Kainulainen S, Partanen K. Interobserver variability in measuring the dimensions of the abdominal aorta: Comparison of ultrasound and computed tomography. Eur J Vasc Endovasc Surg 1996;12:230-237.

30. Darling RC, Messina CR, Brewster DC, Ottinger LW. Autopsy study of unoperated abdominal aortic aneurysms: The case for early resection. Circulation 1997;56:Suppl 3. II 161-II 164.

31. Kvilekal KH, Best IM, Mason RA, Newton GB, Giron F. The value of computed tomography in the management of symptomatic abdominal aortic aneurysms. J Vasc Surg 1990;12:28-33.

32. Sullivan CA, Rohrer MJ, Cutler BS. Clinical management of the symptomatic but unruptured abdominal aortic aneurysm. J Vasc Surg 1990;11:799-803.

33. Muluk SC, Gertler JP, Brewster DC, Cambria RP, LaMuraglia GM, Moncure AC, Darling RC, Abbott WM. Presentation and patterns of aortic aneurysms in young patients. J Vasc Surg 1994;20:880-886.

34. Heather BP, Poskitt KR, Earnshaw JJ, Whyman M, Shaw E. Population screening reduces mortality rate from aortic aneurysm. In men Br J Surg 2000;87:750-753.

35. Brewster DC, Cronenwett JL, Hallett JW Jr, Johnston KW, Krupski WC, Matsumura JS. Guidelines for the treatment of abdominal aortic aneurysms. Report of a subcommittee of the Joint Council of the American Association for Vascular Surgery and Society for Vascular Surgery. J Vasc Surg 2003;37:1106-1111.

36. Lederle FA, Wilson SE, Johnson GR, Reinke DB, Littoy FN, Acher CW, Ballard DJ, Messina LM, Gordon IL, Chute EP, Krupski WC, Busuttil SJ, Barone GW, Sparks S, Graham LM, Pall JH, Makaroun MS, Moneta GL, Cambria RA, Makhoul RG, Eton D, Ansel HJ, Freischlag JA, Bandyk D; Aneurysm Detection and Management Veterans Affairs Cooperative Study Group. Immediate repair compared with surveillance of small abdominal aortic aneurysms. N Engl J Med 2002;346:1437-1444.

37. Szilagyi DE, Smith RF, Ijelwsso FJ, Jilliott JR, Silehhin F. Contribution of abdominal aortic aneurysmectomy to prolongation of life. Ann Surg 1966;164:678-699.

38. Reed WL, Hallett JW Jr, Damiano MA, Ballad DJ. Learning from the last ultrasound. A population-based study of patients with abdominal aortic aneurysm. Arch Intern Med 1997;157:2064-2068.

39. Limet R, Sakalihassan N, Albert A. Determination of the expansion rate and incidence of rupture of abdominal aortic aneurysms. J Vasc Surg 1991;14:540-548.

40. Guirguis EM, Barber GG. The natural history of abdominal aortic aneurysms. Am J Surg 1991;162:481-483.

41. Hallin A, Bergqvist D, Holmberg L. Literature review of surgical management of abdominal aortic aneurysm. Eur J Vase Enodovasc Surg 2001;22:197-204.

42. Chang JB, Stein TA, Liu JP, Dunn ME. Risk factors associated with rapid growth of small abdominal aortic aneurysms. Surgery 1997;121:117-122.

43. Propranolol Aneurysm Trial Investigators. Propranolol for small abdominal aortic aneurysms. Results of a randomized trial. J Vasc Surg 2002;35:72-79.

44. Norman PE, Semmens JB, Lawrence-Brown MM. Long-term relative survival following surgery for abdominal aortic aneurysm. A review. Cardiovasc Surg 2001;9:219-224.

45. Hertzer NR, Young JR, Kramer JR, Phillips DF, deWolfe VG, Ruschaupt WF III, Beven EG. Routine coronary angiography prior to elective aortic reconstruction: Results of selective n:ocardial revasculization in patients with peripheral vascular disease. Arch Surg 1979;114:1336-1339.

46. Chervu A, Clagett GP, Valentine RJ, Myers SI, Rossi PJ. Role of physical examination in detection of abdominal aortic aneurysms. Surgery 1995;117:454-457.

47. Johnston KW, Scobie TK. Multicenter prospective study of nonruptured abdominal aortic aneurysms. I. Population ane operative management. J Vasc Sung 1988;7:69-81.

48. Huber TS, McGorray SP, Carlton LC, Irwin PB, Flug RR, Flynn TC, Seeger JM. Intraoperative autologous transfusion during elective infrarenal aortic reconstruction. A decision analysis model. J Vasc Surg 1997;25:984-993.

49. Bjock M, Bergqvist D, Troeng T. Incidence and cd cical presentation of bowel ischemia after aortoiliac surgery-2930 operations from a population-based registry in Swedenbased r. Vase Endovasc Sur 1996;12:139-144.

50. Brewster DC, Franklin DP, Cambria RP, Darling RC, Moncure AC, Lamuraglia GM, Stone WM, Abbott WM. Intestinal ischemia complicating abdominal aortic surgery. Surgery 1991;109:447-454.

51. Levison JA, Halpern VJ, Kline RG, Faust GR, Cohen JR. Perioperative predictors of colonic ischemia after ruptured abdominal aortic aneurysm. J Vasc Sung 1999;29:40-47.

52. Lederle FA, Johnson GR, Wilson SE, Acher CW, Ballard DJ, Littooy FN, Messina LM. Quality of life, impotence, and activity level in a randomized trial of immediate repair versus surveillance of small abdominal aortic aneurysm. J Vasc Surg 2003;38:745-752.

53. Williamson WK, Nicoloff AD, Taylor LM Jr, Moneta GL, Landry GL, Porter JMl. Functional outcome after open repair of abdominal aortic aneurysm. J Vasc Surg 2001;33:913-920.

54. Edwards JM, Teefey SA, Zierler RE, Kohler TR. Intraabdominal paraanastomotic aneurysms after aortic bypass grafting. J Vasc Surg 1992;15:344-350.

55. Bunt TJ. Synthetic vascular graft infections. II. Graft-enteric erosions and graft-enteric fistulas. Surgery 1983;94:1-9.

57. Hollier LH, Plate G, O'Brien PC, Kazmier FJ, Gloviczki P, Pairolero PC, Cherry KJ. Late survival after abdominal aortic aneurysm repair. Influence of coronary artery disease. J Vasc Surg 1984;1:290-299.

58. Crawford ES, Saleh SA, Babb JWD, Glaeser DH, Patrick V, Abraham S. Infrarenal abdominal aortic aneurysm. Factore influencing survival after operation performed over a 23-year period. Ann Surg 1981;193:699-709.

59. Hertzer NR. Fatal myocardial infarction following abdominal aortic aneurysm resection. Three hundred-forty-three patients followed 6-11 years postoperatively. Ann Surg 1980;192:667-673.

60. Guidant Product Manual 2000;Menlo Park, California: Guidant Corporation, Cardiac and Vascular Surgery Group.

61. Peppelenbosch N, Buth J, Harris PL, Marrewijk C, Fransen G. Diameter of abdominal aortic aneurysm and outcome of endovascular aneurysm repair: does size matter? A report from EUROSTAR J Vasc Surg 2004;39:288-297.

62. Velazquez OC, Carpenter JP, Baum RA, Barker CF, Golden M, Criado F, Pyeron A, Fairman RMl. Perigraft air, fever, and leukocytosis after endovascular repair of abdominal aortic aneurysms. Am J Surg 1999;178:185.

63. Teufelsbauer H, Prusa AM, Wolff K, et al. Endovascular stent grafting versus open surgical operation in patients with infrarenal aortic aneurysms: a propensity score-adjusted analysis. Circulation 2002;106:782.

64. Lifeline registry of endovascular aneurysm repair: long-term primary outcome measures. J Vasc Surg 2005;42:1-10.

65. Harris PL, Vallabhaneni SR, Desgranges P, Becquemin JP, Marrewijk C, London NJM. Incidence and risk factors of late rupture, conversion, and death after endovascular repair of infrarenal aortic aneurysms: the EUROSTAR experience. European Collaborators on Stent/graft techniques for aortic aneurysm repair. J Vasc Surg 2000;32:739-749.

66. Long-term outcomes of immediate repair compared with surveillance of small abdominal aortic aneurysms. N Engl J Med 2002;346:1445.

67. Goueffic Y, Becquemin JP, Desgranges P, Kobeiter H. Midterm survival after endovascular versus open repair of infrarenal aortic aneurysms. J Endovasc Ther 2005;12:47-57.

Table 1
Estimated annual rupture risk
jkma-52-1020-i001-l.jpg

AAA: Abdominal aortic aneurysm

Table 2
Rupture risk
jkma-52-1020-i002-l.jpg

COPD: chronic obstructive pulmonary disease

Table 3
Operative mortality risk of open AAA repair
jkma-52-1020-i003-l.jpg
Table 4
Size dependent therapeutic management for asymptomatic AAA
jkma-52-1020-i004-l.jpg


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