This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.
While hospital mortality for abdominal aneurysmectomy has fallen tenfold since 1951, most vascular surgery texts neglect mentioning that life after aneurysm surgery is still too short. Not so this book, which emphasizes the need to liberalize coronary angiography and surgery in abdominal aneurysm patients, 40% of whom will otherwise die too early from myocardial infarction. As 30% of aortic dissection patients succumb to another aneurysm after the initial "successful" repair, better diagnostic follow-up and closer control of blood pressure are also advised.
Other dark recesses of this field, such as why some atherosclerotic arteries develop aneurysms while others stenose, or why anastomotic false aneurysms occur, are brightly illuminated. The pros and cons of routine preoperative aortography, the prevention and treatment of complications, and unusual manifestations of aneurysmal disease are all brilliantly reviewed. Visceral, peripheral, mycotic, and pediatric aneurysms are articulated with notable cogency. Special problems, like infected groin aneurysms in heroin addicts,
Marty AT. Aneurysms: Diagnosis and Treatment. JAMA. 1982;247(14):2027–2031. doi:10.1001/jama.1982.03320390085061
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: