Abdominal aortic aneurysm historical perspective
Abdominal Aortic Aneurysm Microchapters
Abdominal aortic aneurysm historical perspective On the Web
The etymology of the word aneurysm comes from the Greek word for "dilatation". Abdominal aortic aneurysm as a medical condition has been recognized since ancient times, but was not been successfully treated until the early part of the 20th century. In 1923, Rudolph Matas (who also proposed the concept of endoaneurysmorrhaphy), performed the first successful aortic ligation on a human. In 1949, Albert Einstein was operated on by Rudolf Nissen by wrapping the aorta with polyethene cellophane, which induced fibrosis and restricted the growth of the aneurysm. In 1951, Charles Dubost performed the first AAA repair using a homograft. In 1953, Blakemore and Voorhees repaired a ruptured AAA using a Vinyon-N graft (nylon). In 1962, Javid and Creech reported the technique of endoaneurysmorrhaphy. In 1980, Parodi et al described an endovascular repair.
2nd Century AD
- The first historical accounts regarding abdominal aortic aneurysm date from Ancient Rome, more precisely from the 2nd century AD, when Greek surgeon Antyllus tried to treat an abdominal aortic aneurysm with proximal and distal ligature, along with central incision and evacuation of thrombotic material from the aneurysm.
- However, attempts to treat the AAA surgically were unsuccessful until 1923. In that year, Rudolph Matas (who also proposed the concept of endoaneurysmorrhaphy), performed the first successful aortic ligation on a human.
- Other methods that were successful in treating an AAA included wrapping the aorta with polyethene cellophane, which induced fibrosis and restricted the growth of the aneurysm. Albert Einstein was operated on by Rudolf Nissen with use of this technique in 1949, and survived five years after the operation.
- Blakemore and Voorhees repaired a ruptured AAA using a Vinyon-N graft (nylon). 
- Later, they were replaced by Dacron and polytetrafluoroethylene (PTFE).
- Silk sutures were banned because of degeneration, in favor of braided Dacron, polyethylene, and PTFE sutures, all of which retain tensile strength.
- Javid and Creech reported the technique of endoaneurysmorrhaphy, which dramatically reduced mortality.
- Parodi et al described an endovascular repair using a large Palmaz stent and unilateral aortofemoral and femorofemoral crossover Dacron grafts.
- Bobadilla, Joseph L. (2013). "From Ebers to EVARs: A Historical Perspective on Aortic Surgery". AORTA. 1 (2): 89–95. doi:10.12945/j.aorta.2013.13-004. ISSN 2325-4637.
- Livesay JJ et al. Milestones in Treatment of Aortic Aneurysm. Tex Heart Inst J 2005; 32: 130–134. PMCID 1163455
- Famous Patients, Famous Operations, 2002 - Part 3: The Case of the Scientist with a Pulsating Mass from Medscape Surgery
- Cervantes, Jorge (2003). "Reflections on the 50th Anniversary of the First Abdominal Aortic Aneurysm Resection". World Journal of Surgery. 27 (2): 246–248. doi:10.1007/s00268-002-6413-6. ISSN 0364-2313.
- Norton, Jeffrey A.; Barie, Philip S.; Bollinger, R. Randal; Chang, Alfred E.; Lowry, Stephen F.; Mulvihill, Sean J.; Pass, Harvey I.; Thompson, Robert W. (2008). doi:10.1007/978-0-387-68113-9. Missing or empty
- Paty, Philip S.K.; Darling, R.Clement; Chang, Benjamin B.; Shah, Dhiraj M.; Leather, Robert P. (1997). "A prospective randomized study comparing exclusion technique and endoaneurysmorrhaphy for treatment of infrarenal aortic aneurysm". Journal of Vascular Surgery. 25 (3): 442–445. doi:10.1016/S0741-5214(97)70253-2. ISSN 0741-5214.
- Parodi JC, Palmaz JC, Barone HD (1991). "Transfemoral intraluminal graft implantation for abdominal aortic aneurysms". Ann Vasc Surg. 5 (6): 491–9. PMID 1837729.