Prognosis
- Prognosis is related to both the size of the aneurysm and the severity of coexisting coronary artery and cerebrovascular disease.
- The risk of rupture increases with the size of the aneurysm.
- Annual risk of rupture
- < 4 cm: 0.3%
- 44.9 cm: 1.5%
- 55.9 cm: 6.5%
- >6 cm: Risk increases sharply.
- Operative mortality rate for elective surgery approximates 12%.
- After acute rupture, the operative mortality rate approximates 4550%.
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