Key result
Open repair successfully treats a >20 cm ruptured AAA.
Why the study?
Rupture risk increases exponentially with aneurysm diameter, making giant abdominal aortic aneurysms measuring > 13.0 cm rare clinical entities.
Case Report (n=1)
Open repair can be successfully utilized to treat extremely rare giant ruptured abdominal aortic aneurysms measuring over 20 cm in diameter.
Answers are grounded in this paper and cite their sources.
Extends sparse case-level evidence on giant ruptured AAAs; leaves open optimal strategy and generalizability.
INTRODUCTION: The rupture risk of abdominal aortic aneurysms (AAAs) depends primarily on their diameter and increases exponentially with aneurysm growth. Therefore, giant AAAs, defined as > 13.0 cm in diameter, are rare clinical entities. REPORT: A giant ruptured AAA that measured >20 cm in diameter was successfully treated by open repair. CONCLUSION: It remains unclear why giant AAAs continue to grow to extreme size without rupturing. Open repair seems to be the treatment of choice for most giant aneurysms, both ruptured and unruptured.
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Duijzer et al. (2018) conducted a case report in Giant ruptured abdominal aortic aneurysm (n=1). Open repair was evaluated on Successful treatment. Open repair successfully treated a giant ruptured abdominal aortic aneurysm measuring >20 cm in diameter.
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