ARTERIOSCLEROTIC aneurysms of the abdominal aorta present as serious a challenge to surgeons today as they have at any preceding time, although the reasons for this situation are different from those pertaining as recently as 15 years ago. Whereas in the past the details of operative technique successfully challenged the surgeon, the current methods of surgical treatment of vascular diseases are sufficiently refined to permit direct as well as indirect attacks on such aneurysms. Pressing problems remain that are no less urgently in need of settlement than are the purely technical ones. These have to do with indications for operation in abdominal aortic aneurysm, selection of the type of procedure to be used, and evaluation of the efficacy of the operative procedures under consideration in the alleviation of symptoms and the prolongation of life.
This paper presents experience with the operative treatment used in 23 patients who had aneurysms of