Natural History and Treatment of Aneurysms

  • Jeffrey M. Reilly
  • Gregorio A. Sicard


Abdominal aortic aneurysms (AAAs) are principally a disease of the elderly Until the middle of the twentieth century, AAAs were lethal unless some other disease process killed the patient first. Their anatomic location and the physiologic and technical challenges aortic surgery presented to both surgeon and patient, prevented their direct repair. However, several ingenious but uniformly unsuccessful indirect methods of preventing aneurysm rupture were tried including intraluminal thrombosis, wrapping the aneurysm with cellophane, or injecting sclerosants around the aneurysm wall.1 In 1951 in France, Dubost et al. successfully repaired an AAA via a left retroperitoneal approach with excision of the aneurysm and homograft replacement of the infrarenal aorta.2 Subsequent refinements of the endoaneurysmor-rhaphy technique by Creech and DeBakey, coupled with the development of durable prosthetic grafts, ushered in the modern era of aneurysm surgery.3


Abdominal Aortic Aneurysm Left Renal Vein Aneurysm Rupture Prosthetic Graft Aneurysm Size 


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© Springer Science+Business Media New York 2001

Authors and Affiliations

  • Jeffrey M. Reilly
  • Gregorio A. Sicard

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