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Familial abdominal aortic aneurysms: screening of 71 families
P Jaakkola1, H Kuivaniemi, K Partanen
1Department of Surgery, University of Kuopio, Finland.
Objective:
To find out the local prevalence of familial abdominal aortic aneurysms.
Design:
Retrospective open study.
Setting:
University hospital, Finland.
Subjects:
71 families of patients operated on for abdominal aortic aneurysm.
Interventions:
Ultrasound screening, personal interviews and study of population registers, death certificates and hospital records.
Main Outcome Measures:
The diagnosis of asymptomatic abdominal aortic aneurysms.
Results:
148 of the 291 patients operated on replied to our letter (51%). The ultrasound examination was carried out on 123 siblings and detected abdominal aortic aneurysm in one sister (1/78 about 1%) and four brothers (4/45 about 9%). By the other methods data were obtained on 77 siblings (54 men and 23 women) of whom two sisters and six brothers were found to have abdominal aortic aneurysms. When the figures for the 71 families were combined, 10% of the brothers (10/99) and 3% of the sisters (3/101) had abdominal aortic aneurysms. These siblings were from 11 different families and so the prevalence of families with at least two affected persons was 16% (11/71). The index patient in 65 families was male and the prevalence of risk families (with two or more cases of aneurysm) in this group was 15% (10/65). The index case was a woman in six families giving a prevalence of 33% (2/6) (p = 0.2 between the groups).
Conclusion:
The screening of families of patients with abdominal aortic aneurysms should be restricted to the brothers of these patients.