A growing number of specialists are now beginning to ascertain that treatment of individuals with\ndescending aortic atherosclerotic aneurysms must be provided by cardiologists on a scheduled\nbasis. Surgery is feasible when there is a risk of aneurysm rupture. It requires for the development\nof conservative treatments and elaboration of indications for surgery. A total of 97 patients with\nthoracic aortic atherosclerotic aneurysms (TAAA) and abdominal aortic aneurysms (AAA) have\nbeen examined over a 5-year period. They received multifaceted anti-inflammatory medical\ntreatment to strengthen the aortic wall and control its possible expansion. Operative treatment\nwas offered only if there was a risk of aneurysm rupture. One of the principal factors adversely affecting\nmortality is the presence of co-morbidities requiring permanent medical corrective treatment\nirrespective of surgical or medical treatment provided. It is also important to outline the indications\nfor surgery based on multifactorial pathogenetic manifestations. Treatment aiming at\nthe reversal of ethiopathogenic mechanisms of disease progression contributes to a significant\nlonger survival in DAA patients.
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