Conclusion:
With the findings from our study, we want to emphasize the importance of
screening for AAAs in high risk women and the importance of formulating
“sex-specific” management guidelines of AAA. Routine screening in men
of age 65 years and over has significantly reduced the mortality from
ruptured AAA. Nearly one-third of the patients who present with ruptured
AAA are women, and they do have a very high mortality contributing to a
large proportion of deaths from AAA.11 In 2017, USPSTF
considered a revised draft plan for AAA screening including asymptomatic
males and females. If this plan is implemented, it is possible that
there may be reduction in mortality disparity between males and females
with ruptured AAA.5 Because of the fact that there is
no effective treatment other than risk factor modification, screening in
females and considering elective surgery at a smaller size
(<5.5cm) may reduce mortality in females.