Aortic Resections in Retrospect*

Publication, more than twenty years ago, of the first report on resection with graft replacement for abdominal aortic aneurysm opened the field of aneurysmectomy for treatment of this highly lethal lesion. A review is presented of advances in abdominal aortic resection since that time. The mortality rate is constantly decreasing, the indications for the procedure are increasing, and the life expectancy of patients treated by elective aneurysmectomy is about double that of those not treated surgically. The mortality from ruptured aneurysm is still too high, and further efforts are needed. The consistent early diagnosis and treatment of all aneurysms is the key to the prevention of rupture.