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April 1989

Use of Sequential B-Mode Ultrasonography to Manage Abdominal Aortic Aneurysms

Author Affiliations

From the Loyola University Medical Center, Maywood, Ill (Drs Littooy, Greisler, and Baker); and the Hines (Ill) Veterans Administration Hospital (Drs Littooy and Greisler, Mr Steffan, and Ms White).

Arch Surg. 1989;124(4):419-421. doi:10.1001/archsurg.1989.01410040029005

• The utility and safety of sequential B-mode ultrasonography to treat male patients with small (6.0 cm in diameter) abdominal aortic aneurysms (AAAs) were studied retrospectively in 149 consecutive patients. Sixty-three of these patients have had operative repair of the AAA. Eighty-six remain unoperated on. Mean growth rate was 0.79 cm/y (1.06 cm/y in the operated-on group and 0.36 cm/y in the unoperated-on group). Seven patients sustained rupture of the AAA during follow-up and 4 patients died as a consequence of elective repair, for a combined mortality rate of 7.4% (11/149). Only one AAA that was less than 5.0 cm ruptured. This has proved to be an effective way to manage AAAs in this population.

(Arch Surg 1989;124:419-421)

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