Akutes Abdomen pp 441-448 | Cite as

Abdominelles Aortenaneurysma

  • Hans-Henning Eckstein

Zusammenfassung

Die häufigste Erkrankung der Aorta ist das abdominelle Aortenaneurysma (AAA). 80–90% aller AAA sind asymptomatisch (silent killer). Ein symptomatisches oder rupturiertes abdominelles Aortenaneurysma stellt eine wichtige, unmittelbar lebensbedrohliche Differenzialdiagnose des akuten Abdomens dar. Eine sofortige gezielte Diagnostik und ggf. gefäßchirurgische Therapie ist daher absolut notwendig. Für die Therapie eines AAA stehen zwei Standardverfahren zur Verfügung: Beim offenen Ersatz (open repair bzw. OR) wird die infrarenale Aorta durch eine Rohr- oder Bifurkationsprothese ersetzt, bei der endovaskulären Therapie (endovascular aortic repair bzw. EVAR) wird das AAA durch die Implantation einer Stent-Prothese über die Leistenarterien ausgeschaltet.

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Copyright information

© Springer-Verlag Wien 2016

Authors and Affiliations

  • Hans-Henning Eckstein
    • 1
  1. 1.Klinik und Poliklinik für Vaskuläre und Endovaskuläre ChirurgieKlinikum rechts der IsarMünchen

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