Surgery for AAA -asymptomatic
If 5.5 or more
Indications of AAA sx if size <5.5
Growth rates-more than 0.5 cm in 6 months or 1cm in a yr
Or if symptomatic
Perioperative mortality of open repair vs EVAR in AAA
3-5% vs 0.5-2%
AAA in young pts less than 60 yrs which procedure is preferred
Open surgical repair than EVAR
AAA is abdominal Aorta more than
3cm
1.5 times normal. On an avg Abd Aorta is 2cm. Hence 3 cm is AAA
Aorta size Echo
29/37/32/34- Annulus/Sinus/STJ/Adv Aorta
Porcelain Aorta means
Calcified thoracic ascending Aorta
Complicates Surgical AVR
Increased stroke risk. ;Access to valve difficult ; impedes Aortic clamping