Hidden Threats: Patient Decision-Making around Abdominal Aortic Aneurysm Surgery in the United States

Abdominal aortic aneurysms (AAAs) are pathologic enlargements of the aorta that, if they rupture, are usually fatal. Patients can undergo high-risk surgery to prevent rupture. We explored AAA patients' surgical journeys to understand decision-making and unmet needs. Major interview themes included fear of death, risk perception, importance of partner support, communication with providers, and preparedness for surgery and recovery. The nature of AAAs as chronic conditions that can suddenly become acutely life-threatening lends a unique context to patient decision-making. Understanding patient perspectives and values when undergoing AAA repairs can improve surgeons' abilities to meet patient needs and facilitate shared decision-making.