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Updated: Feb 13, 2026

Porcine Model of Infrarenal Abdominal Aortic Aneurysm
Published on: November 21, 2019
[Optimizing medical treatment of abdominal aortic aneurysm: Interest of vascular centers]
Anne-Laure Madika1, Claire Mounier-Vehier1, Richard Azzaoui1
1CHU de Lille, université de Lille, institut cœur-poumon, médecine vasculaire et HTA, EA 2694 (santé publique : épidémiologie et qualité des soins), 59000 Lille, France.
Abstract:
Diagnosis of abdominal aortic aneurysm (AAA) at preoperative stage is increasingly frequent. It carries both a local risk of rupture and an increased global cardiovascular risk. Patients with AAA have indeed a 20 times higher risk of dying from myocardial infarction or stroke than from a ruptured aneurysm. Cardiovascular risk factors control is therefore essential, particularly smoking cessation. Treatment in cardiovascular prevention is also warranted. Seeking for atheromatous sites is needed as they determine prognosis. Evidence of the benefit of medical treatment to slow AAA growth is still lacking. In practice, it is recommended to prescribe statins and angiotensin converting enzyme inhibitor to prevent cardiovascular events. These preventive measures are as well necessary to improve postoperative prognosis and must be continued after surgical repair. A vascular medical and surgical cooperation is primordial to enhance comprehensive management of patients with AAA.
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