Comparison of Infrarenal Abdominal Aortic Aneurysm Endovascular and Open Surgery Repair in Younger than 65 Years Old Patients’ Group

Aim of the study To review and analyze the data, which is presented in the scientific literature about the survival of young people after surgical treatment methods of abdominal aortic aneurysm. Objectives To evaluate the prevalence of abdominal aortic aneurysms among young patients by sex, race, adjacent diseases based on literature data; To review the surgical methods used to treat abdominal aortic aneurysm; To find out the most common possible complications after surgery; To compare the survival rates after abdominal aortic aneurysm surgery in young patients depending on the treatment method that was chosen. Methods Using PubMed database a search for articles was used matching the topic of literature analysis by keywords „abdominal aortic aneurysm“, „survival“, „young age“ and their synonyms or similar. PRISMA recommendations were used to select the publications found. Results and conclusions After the selection, eligibility and inclusion stages of the articles sought, 6 articles corresponding to the theme were examined. Studies have shown that abdominal aortic aneurysm are the most common in young men, Caucasians and smokers, and those with cardiovascular comorbidity or diabetes. For the surgical treatment of abdominal aortic aneurysm, two methods are chosen equally often – endovascular or open surgery. Complications are slightly more common with open surgery method. In both – early and late postoperative period after endovascular treatment, the most common complication is endoleaks. Early complications of open surgery are more associated with circulatory and respiratory disorders and infections, while late complications are due to postoperative wound hernia. Though late postoperative survival rate after endovascular treatment is more related to malignant disease or cardiovascular events and is 5% lower than after open abdominal aortic aneurysm repair, there are no significant differences in between and it is safe to use both methods equally