Treatment of aneurysms of the abdominal aorta. Improvements and evidences

A review of the literature on aortic aneurysms is carried out, focusing abdominal as most frequent location. After introducing topic (concept, frequency, natural history disease, consequences -mortality-, etc.), focuses individualized treatment this entity and improvements obtained during last decade, both in elective non-elective situations, which have led to a reduction mortality. These are due several components such as: a) early diagnosis (screening effect) correct follow-up (using echo-Doppler) that made it possible increase more surgeries reduce urgent surgeries; b) control cardiovascular risk factors, mainly tobacco use statins type patient; c) role endovascular surgery, has expand surgical indications patients previously not eligible for open including nonagenarians some centenarians; d) effect centralizing complex cases (the higher volume, better results).