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Bruce A. Perler, MD, MBA

Arch Surg. 2007;142(11):1053.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

During the past 3 decades, there has been a remarkable reduction in the rate of operative mortality among patients undergoing elective AAA repair, and the introduction of endovascular AAA repair (EVAR) may further reduce operative morbidity in this patient population. Unfortunately, a similar improvement in outcome among patients undergoing emergency open repair of RAAAs has not occurred, and operative mortality continues to approach 50% in many leading centers. In light of that, perhaps one of the most impressive observations in the study by Najjar and colleagues from Northwestern University is the remarkably low incidence of operative mortality, 13.6% (3 of 22), among patients undergoing conventional open RAAA repair. Therefore, one must wonder if there is substantial selection bias in the patient population reported in this series, which should be considered in assessing their experience with EVAR among patients with RAAAs. Clearly, all patients with an . . . [Full Text of this Article]

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