Abdominal Masses: Vascular

  • Rocco G. Ciocca


The diagnosis, workup, and treatment of vascular abdominal masses have been presented in this chapter. A basic understanding of abdominal anatomy and physiology greatly assists in the evaluation of a patient with a vascular abdominal mass. Classifying the mass anatomically, based on etiology and clinical course, greatly helps in the understanding of the problem and type of intervention necessary to facilitate proper therapy. The diagnosis and treatment of vascular abdominal masses frequently requires input from several medical and surgical specialists. In addition to primary care specialists, gastroenterologists, oncologists, general surgeons, surgical oncologists, gynecologists, radiologists, infectious disease specialists, urologists, and vascular surgeons often contribute in the management of a patient with a vascular abdominal mass. The overall prognosis of a patient with a vascular abdominal mass depends on the nature of the mass, the timing of the diagnosis, and the overall condition of the patient. Elective intervention, whether medical or surgical, generally is better than delayed or emergent intervention.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Selected Readings

  1. Busuttil R, Abou-Zamzam AM, Machleder HI. Collagenase activity of the human aorta: a comparison of patients with and without abdominal aneurysms. Arch Surg 1980;115:1373–1378.PubMedGoogle Scholar
  2. Carpenter JP, Barker CF, Roberts B, Berkowitz HD, Lusk EJ, Perloff LJ. Popliteal artery aneurysms: current management and outcome (see comments). J Vasc Surg 1994;19:65–72; discussion 72–73.PubMedGoogle Scholar
  3. Golden MH, Whittemore AD, Donaldson MC, et al. Selective evaluation and management of coronary artery disease in patients undergoing repair of abdominal aortic aneurysms: a 16-year experience. Ann Surg 1990;212:415–423.PubMedGoogle Scholar
  4. Johnston K, Rutherford RB, Tilson MD, et al. Suggested standards for reporting on arterial aneurysms. J Vasc Surg 1991;3:452–458.Google Scholar
  5. March RJ. Abdominal aortic aneurysm. In: Millikan KW, Saclarides TJ, eds. Common Surgical Diseases. New York: Springer-Verlag, 1998.Google Scholar
  6. Moore W, Rutherford R. Transfemoral endovascular repair of abdominal aortic aneurysm: results of the North American EVT phase 1 trial. J Vasc Surg1996;23:543–553.PubMedCrossRefGoogle Scholar
  7. Shortell C, DeWeese JA, Ouriel K, Green RM. Popliteal artery aneurysms: a 25-year surgical experience. J Vasc Surg 1991;14:771–776; discussion 776–779.PubMedCrossRefGoogle Scholar
  8. Winterstein BA, Baxter BT. Diseases of the abdominal aorta and its branches. In: Norton JA, Bollinger RR, Chang AE, et al, eds. Surgery: Basic Science and Clinical Evidence. New York: Springer-Verlag, 2001.Google Scholar
  9. Zarins C, Harris EJ. Operative repair for aortic aneurysms: the gold standard. J Endovasc Surg 1997;4:232–241.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, Inc. 2005

Authors and Affiliations

  • Rocco G. Ciocca
    • 1
  1. 1.Division of Vascular SurgeryUniversity of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical SchoolNew BrunswickUSA

Personalised recommendations