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Fred N. Littooy, MD; George Steffan, PA; Howard P. Greisler, MD; Theresa L. White, RN; William H. Baker, MD

Arch Surg. 1989;124(4):419-421.

Abstract
• 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)

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).

Footnotes
Accepted for publication December 29, 1988.

Read before the 12th Annual Surgical Symposium of the Association of Veterans Administration Surgeons, Minneapolis, Minn, May 12, 1988.

Reprint requests to Department of Surgery, Loyola University Medical Center, 2160 S First Ave, Maywood, IL 60153 (Dr Littooy).

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