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Abdominal aortic aneurysms predominantly affect males aged over 65 years, with a prevalence of 10 percent in guys aged over 80 years. AAA is the third most common reason behind sudden death in old men, after myocardial stroke and infarction. Most AAAs are asymptomatic and are incidentally diagnosed. Medical management of cardiovascular risk elements, including use of antiplatelet agents and statins, can be an important part of treatment. Endovascular aneurysm repair is just about the modality of choice for restoration of AAAs above a threshold diameter. EVAR offers lower perioperative mortality and morbidity than open up repair, but there is absolutely no difference in mid – and long-term mortality; EVAR is usually associated with more re-interventions and needs lifelong surveillance..