[Surgical treatment of infrarenal abdominal aortic aneurysm]

Results of surgical treatment of infrarenal abdominal aortic aneurysms (AAA) have improved in recent years. Through worldwide experience associated risk factors could be determined and reduced significantly. Therapy of associated diseases and profound morphologic knowledge about AAA are the most important factors to influence survival after surgery. Nowadays average mortality after elective surgery is 5%, 5-year survival rate 70%. By recognition of asymptomatic AAA on time the rupture rate with a mortality of more then 50% must be reduced in the near future. The purpose of this article is to represent, beyond the standard surgical technique, the possibilities to prevent ischemic complications from the myocardium, kidneys, colon and gluteal region during abdominal aortic surgery.