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Modern treatment of aortic aneurysms began in the early 1930's. And much ado has occurred over the issue in regards to aortic aneurysms per se in the last three decades. Controversy has sprung up in the manner of diagnosing it clinically, confirmation for the establishment of a pre-operative diagnosis, its etiology and pathogenesis, its methods of surgical treatment and its probable outcome after surgery…
And in its management, several studies have shown that the newer endovascular repair is much preferred over the conventional open surgery for practical and scientific reasons.
Without trying to look like a meta-analysis, I have searched the World Wide Web for articles on this disease entity. And my purpose in doing this is to evaluate the advantages and disadvantages of the methods for its diagnosis, its indications for surgery, methods of surgery, and general outcome after treatment.
An aneurysm in its most simple definition is a localized dilatation of an artery involving an increase in its diameter of at least 50 percent in comparison to its original normal diameter. Anatomically, it often represents a weakness in the wall of the artery at any given segment of the aorta. It is noted that there is an increasing incidence of aortic aneurysms lately. Hence, there is also a trend in seeking better methods for diagnosing and treating this pathology. Without trying to look like a meta-analysis, I did an on-line systematic Medline and PubMed search and then reviewed the retrieved articles on the diagnosis, pathogenesis, treatment and current management of aortic aneurysms. ...
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