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Updated: Jan 29, 2026
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Porcine Model of Infrarenal Abdominal Aortic Aneurysm
Published on: November 21, 2019
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Giant, 20 cm Diameter, Ruptured Abdominal Aortic Aneurysm: A Case Report
Cathelijne Duijzer1, Thomas C Schuurs2, Willem Wisselink3
1Emergency Department, Spaarne Gasthuis, The Netherlands.
EJVES Short Reports
|February 9, 2019
Summary
Giant abdominal aortic aneurysms (AAAs) exceeding 20 cm can be successfully treated with open repair. However, the reasons for their extreme growth without rupture remain unclear.
Area of Science:
- Cardiovascular Surgery
- Vascular Surgery
- Aortic Aneurysm Research
Background:
- Abdominal aortic aneurysm (AAA) rupture risk correlates with diameter, increasing exponentially with growth.
- Giant AAAs, defined as >13.0 cm, are uncommon due to this risk.
- Understanding factors influencing giant AAA growth is crucial for risk assessment.
Observation:
- A case of a giant ruptured AAA, measuring over 20 cm, was successfully treated.
- The patient underwent open surgical repair for the massive aneurysm.
Findings:
- Giant abdominal aortic aneurysms can reach extreme sizes (>20 cm) without rupturing.
- Open repair is presented as a viable treatment option for giant AAAs, both ruptured and unruptured.
Implications:
- Further research is needed to elucidate the mechanisms behind the reduced rupture risk in some giant AAAs.
- Open repair remains a primary surgical consideration for managing giant abdominal aortic aneurysms.
- This case highlights the successful management of a rare and complex vascular condition.
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