At what point should I consider surgery for my abdominal aortic aneurysm?

Large or gets bigger. Greater than 6cm or some say greater than 5 cm ... Or if getting bigger, more than 1 cm increase per year ... Or if affecting your abdominal organs ...
Repair AAA. All other things aside the only good correlation with risk of rupture for abdominal aortic aneurysm is aneurysm sac size and the threshold for considering repair is an aneurysm sac measuring 5.5 cm or larger or expansion of the sac by greater than .5 cm per year in a patient with no symptoms.
5.5 cm. According to the new england journal of medicine, an abdominal aortic aneurysm should be repaired when it reaches 5.5cm or if the patient is diagnosed with an abdominal aortic aneurysm that is rapidly enlarging.

Related Questions

Abdominal aortic aneurysm -- when should you have surgery?

Depends. The natural history of AAA is that they enlarge and rupture. The larger, the greater the risk of rupture. When open surgery was the only option, AAA were usually repaired when they were 5-5.5 cm in diameter. With stent grafts as an option now, many vascular surgeons will fix AAA at a smaller diameter, like 4.5 cm, especially in a younger patient with a long life expectancy. Read more...

Can people over age 80 have an abdominal aortic aneurysm repaired through endovascular surgery?

Aneurysm repair. At that age, the risk of death is extremely high, as the body does not only have aneurysm but other vascular problem accumulated with life and the causes of aneurysm. Generally an "stenting" is done, endovascular surgery is simple, less invasive, and doe not include open replacement of the aorta segment in the abdomen. Read more...
Depends. If an 80 year old life expectancy is more than 2 years and depending on his aneurysm size and anatomy then yes it can be done by endovascular technique. Read more...
Yes. Non surgical AAA repair was designed for patients at high risk for conventional surgery (elderly and frail). There are anatomic criteria that must be met by the patient. Not all qualify. Read more...
Age and endo repair. Absolutely. It is anatomy not age that typically determines who can have it. Read more...

My father was told he has an abdominal aortic aneurysm. But they are taking their time at getting him on the schedule for surgery. Is this common?

Urgency varies. Urgency to repair varies with size of the aneurysm > 5.5 cm, rate of enlargement, and symptoms. Read more...
Sometimes. If it is leaking he should go right away. If it is stable there is no rush. Read more...
When to fix AAA. The urgency to fix an aneurysm should be based on the size of the aneurysm. In most cases we do not consider repair unless the aneurysm is 5.5cm or larger. Read more...

Why can't my family member talk after abdominal aortic aneurysm surgery?

Possibly a stroke. If your family member had a stroke during the surgery that affected the speech center(in the left side of the brain), they might have speech difficulties. A consult with a neurologist is the next step. Read more...
Something else. The aneurysm repair or surgery is independent of speech. Still medicated? Stroke? Depressed? Need to talk with the surgeon and review testing. Read more...

How does one get rid of an abdominal aortic aneurysm; it sounds really major surgery?

AAA. By endo vascular non-invasive intervention or by open abdominal surgery to replace that segment of the aorta. Decisions depend of risk factors (age, health situation, risk of post-op complication, comorbidities...). Read more...
Surgery. There is no known medical treatment for abdominal aortic aneurysm AAA . If the AAA reach certain diameter 5-5.5 cm then it needs repair : endovascular stent or open surgery. Read more...