Abstract

Following elective abdominal aortic aneurysm (AAA) repair, both open and endovascular, women appear to be more likely than men to suffer from serious complications, including cardiac and renal problems, bowel, and lower limb ischaemia.1 These complications are often attributed to thromboembolic and microembolic events. Could there be a unifying hypothesis or explanation for this relating to the nature of the thrombus within the AAA sac, coupled with more diseased visceral and distal arteries, as previously shown in patients with coronary artery disease (CAD)?2 A pilot single centre study was undertaken to test this hypothesis and investigate sex specific morphological differences in the aortic thrombus, visceral and distal arteries.

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