Natural history of patients with abdominal aortic aneurysm

Diretrizes para a cirurgia das doenças da aorta

“…Estima-se que o risco de ruptura em 5 anos para aneurismas com menos de 5cm de diâmetro seja inferior a 5%, enquanto nos aneurismas maiores de 5cm o risco acumulado se eleva para 25 a 43% [201][202][203][204][205] . A análise multivariada de alguns estudos identificou, como maiores preditores de risco para ruptura, a expansão rápida documentada e a presença de dor abdominal ou lombar significante, independente do tamanho do AAA [206][207][208] .…”

Successful management of critical iliac artery aneurysm which is unexpectedly accompanied by acute aortic dissection type B: A case report

“…Rupture of an aortic aneurysm is life‐threatening and risk for rupture in a large aneurysm is high 4, 5. In patients with ruptured abdominal aortic aneurysm, the mortality rate is approximately 65%‐85% 13, 14.…”

“…The risk of rupture in large aortic aneurysms is very high and the first goal should be to prevent this type of rupture in the patient health supervision 4, 5…”

Efficacy of endovascular management approach of ruptured abdominal aortic aneurysm

“…As a result, is the main factor in the decision to recommend repair or just submit the patient to periodic clinical surveillance. [20][21][22] Several randomized trials have identified the 5cm size limit for the indication of surgical approach open23. However, if there was any procedure with morbidity and survival uniforms, all aneurysms would be treated, regardless of their size.…”