Klinische Wochenschrift

, Volume 62, Issue 23, pp 1120–1125 | Cite as

Sonographische Verlaufsbeobachtungen von Bauchaortenaneurysmen

  • H. Kremer
  • B. Weigold
  • W. Dobrinski
  • M. A. Schreiber
  • N. Zöllner

The natural course of abdominal aortic aneurysms observed by ultrasound


Forty-two patients with an abdominal aortic aneurysm that had not been treated surgically were repeatedly examined by ultrasonography. The average observation time of all patients was 3.1 years. The total observation period including follow-up times of all patients adds up to 129 “patient years”. Within this time none of the 35 asymptomatic abdominal aneurysms with transversal diameters of maximally 5 cm ruptured. Three patients of seven with larger and symptomatic aneurysms died in consequence of a rupture. Small asymptomatic abdominal aortic aneurysms seem to have a better prognosis than previously supposed. The question whether all abdominal aneurysms should be operated on needs reconsideration, especially in the elderly.

Key words

The natural course of abdominal aortic aneurysms Ultrasonic follow-up studies of asymptomatic, small abdominal aortic aneurysms Prognosis of aortic aneurysms Risk of rupture Growth rate of abdominal aneurysms 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Baker WH, Munns R (1975) Aneurysmectomy in the aged. Arch Surg 110:513–517PubMedGoogle Scholar
  2. 2.
    Bardram L, Buchardt Hansen HJ, Dahl Hansen AB (1980) Abdominal aortic aneurysms: Early and late results after surgical and non-surgical treatment. Acta Chir Scand 502:85–93Google Scholar
  3. 3.
    Bernstein EF, Dilley RB, Goldberger LE, Gosink BB, Leopold GR (1976) Growth rates of small abdominal aortic aneurysms. Surgery 80:765–773PubMedGoogle Scholar
  4. 4.
    Brewster DC, Darling RC, Raines JK, Sarno R, O'Donnell TF, Ezpeleta M, Athanasoulis C (1977): Assessment of abdominal aortic aneurysm size. Circulation 56:164–169Google Scholar
  5. 5.
    Carlsson J, Sternby NH (1964): Aortic aneurysms. Acta Chir Scand 127:466PubMedGoogle Scholar
  6. 6.
    Chang FC, Smith JL, Rahbar A, Farha GJ (1978): Abdominal aortic aneurysms; a comparative analysis of surgical treatment of symptomatic and asymptomatic patients. Am J Surg 136:705–708PubMedGoogle Scholar
  7. 7.
    Crane C (1955) Arteriosclerotic aneurysm of the abdominal aorta — some pathological and clinical correlations. New Engl J Med 253:954–958PubMedGoogle Scholar
  8. 8.
    Darling RC, Messina CR, Brewster DC, Ottinger LW (1977) Autopsy study of unoperated abdominal aortic aneurysms. Circulation 56:161–164Google Scholar
  9. 9.
    Darling RC, Brewster DC (1980) Elective treatment of abdominal aortic aneurysms. World J Surg 4:661–667PubMedGoogle Scholar
  10. 10.
    DeBakey ME, Crawford ES, Cooley DA, Morris GC, Royster TS, Abbott WP (1964) Aneurysm of abdominal aorta: analysis of results of graft replacement therapy one to eleven years after operation. Ann Surg 160:622–639PubMedGoogle Scholar
  11. 11.
    Egloff L, Dimai W, Schneider E, Kugelmeier J, Turina M, Senning A (1983) Das Bauchaortenaneurysma beim über 70-jährigen Patienten — soll es in jedem Fall operiert werden? Schweiz med Wschr 113:208–211PubMedGoogle Scholar
  12. 12.
    Estes JE (1950) Abdominal aortic aneurysm: A study of 102 cases. Circulation 2:258–264PubMedGoogle Scholar
  13. 13.
    Fielding L, Black J, Ashton F, Slaney G, Campbell DJ (1981) Diagnosis and management of 528 abdominal aortic aneurysms. Brit Med J 283:355–359Google Scholar
  14. 14.
    Foster JH, Bolasny BL, Gobbel WG, Scott HW (1960) Comparative study of elective resection and expectant treatment of abdominal aortic aneurysm. Surg Gynecol Obstet 129:1–9Google Scholar
  15. 15.
    Hepp W, Krier S (1981) Das abdominale Aortenaneurysma — Früh- und Spätergebnisse bei 131 operierten Patienten (1970–1978). Angio 3:75–80Google Scholar
  16. 16.
    Kessler E, Gaylis H (1981) Nonruptured aortic aneurysms. Surg Gynecol Obstet 152:781–783PubMedGoogle Scholar
  17. 17.
    Kortmann H, Becker HM (1982) Zur Chirurgie des Bauchaortenaneurysmas beim alten Menschen. In: Heberer und Witte (Hrsg): Chirurgie im hohen Alter-perioperative Aspekte. Perimed, Erlangen, S 70–81Google Scholar
  18. 18.
    Lawrie GM, Crawford ES, Morris GC, Howell JF (1980) Progress in the treatment of ruptured abdominal aortic aneurysm. World J Surg 4:653–660PubMedGoogle Scholar
  19. 19.
    McCabe CJ, Coleman WS, Brewster DC (1981) The advantage of early operation for abdominal aortic aneurysm. Arch Surg 116:1025–1029PubMedGoogle Scholar
  20. 20.
    Rantakokko V, Havia T, Inberg MV, Väntinen E (1983) Abdominal aortic aneurysms: A clinical and autopsy study of 408 patients. Acta Chir Scand 149:151–155PubMedGoogle Scholar
  21. 21.
    Ruckert RF, Meier WE, Senning A (1981) Das infrarenale Bauchaortenaneurysma. Schweiz med Wschr 111:1274–1282PubMedGoogle Scholar
  22. 22.
    Schatz IJ, Fairbairn JF, Juergens JL (1962) Abdominal aortic aneurysms — a reappraisal. Circulation 26:200–205PubMedGoogle Scholar
  23. 23.
    Scobie K, McPhail N, Hubbard C (1977) Early and late results of resection of abdominal aortic aneurysms. CMA J 117:147–150Google Scholar
  24. 24.
    Szilagyi DE, Smith RF, De Russo FJ, Elliott JP, Sherrin FW (1966) Contribution of abdominal aortic aneurysmectomy to prolongation of life. Ann Surg 164:678–699PubMedGoogle Scholar
  25. 25.
    Szilagyi DE, Elliott JP, Smith RF (1972) Clinical fate of the patient with asymptomatic abdominal aortic aneurysm and unfit for surgical treatment. Arch Surg 104:600–606PubMedGoogle Scholar
  26. 26.
    Trede M (1983) Arteriosklerose — Serie: Bauchaortenaneurysma — Klinik und Therapie. Dtsch Ärztebl 46:27–37Google Scholar
  27. 27.
    Walker EM, Hopkinson BR, Makin GS (1983) Unoperated abdominal aortic aneurysm: Presentation and natural history. Ann Roy Coll Surg Engl 65:311–313Google Scholar
  28. 28.
    Whittemore AD, Clowes AW, Hechtman HB, Mannick JA (1980) Aortic aneurysm repair: Reduced operative mortality associated with maintenance of optimal cardiac performance. Ann Surg 192:414–421PubMedGoogle Scholar
  29. 29.
    Wolffe JB, Colcher RE (1966) Diagnosis and conservative management of atherosclerotic aneurysms of the abdominal aorta. Vasc Dis 3:49–57PubMedGoogle Scholar
  30. 30.
    Yashar JJ, Indeglia RA, Yashar J (1972) Surgery for abdominal aortic aneurysms: factors affecting survival and long-term results. Am J Surg 123:398–405PubMedGoogle Scholar
  31. 31.
    Young AE, Sandberg GW, Couch NP (1977) The reduction of mortality of abdominal aortic aneurysm resection. Am J Surg 134:585–590PubMedGoogle Scholar

Copyright information

© Springer-Verlag 1984

Authors and Affiliations

  • H. Kremer
    • 1
  • B. Weigold
    • 1
  • W. Dobrinski
    • 1
  • M. A. Schreiber
    • 1
  • N. Zöllner
    • 1
  1. 1.Medizinische Poliklinik der Universität MünchenGermany

Personalised recommendations