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March 1956

Multiple Arteriosclerotic Aneurysms of the Abdominal Aorta and Common Iliac Arteries: Report of a Case Successfully Treated by Homograft Replacement

Author Affiliations

Los Angeles
From the Department of Surgery, University of California at Los Angeles, Medical School.

AMA Arch Surg. 1956;72(3):492-494. doi:10.1001/archsurg.1956.01270210122018

Since the memorable report of Estes,7 in 1950, in which he followed 102 cases of untreated abdominal aortic aneurysm to their inevitable fatal termination, reporting one-third dead in one year and more than 80% dead in five years, the majority from rupture of the aneurysm, renewed hope has been given both the patient and clinician concerned with this disease. The literature during the past two or three years now abounds with the reports of successful resections of such aneurysms with replacement by homografts and in some cases by prosthesis. Dubost,6 Gross, Hufnagel,3 De Bakey,4 Bahnson1 and others furnish material that indicates not only that this type of procedure can be performed with a decreasing surgical mortality but also that longevity may be extended to approach the normal expectancy.

Reports of multiple aneurysms of the abdominal aorta and the common iliac vessels, however, appear to be