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Article (Scientific journals)
Le risque familial de l'anévrisme de l'aorte abdominale et ses conséquences pour l'organisation d'un dépistage sélectif
Limet, Raymond
1995In Journal des Maladies Vasculaires, 20 (4), p. 285-7
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Keywords :
Aneurysm; Abdominal aorta; Family story; Medical screening; Cardiovascular disease
Abstract :
[en] Aneurysm of the abdominal aorta (AAA) is multifactorial disease related to acquired factors (arteriosclerosis) and genetic factors (collagen anomalies) with, in some cases, a familial component. The incidence of familial AAA was evaluated in 324 patients in 313 families who underwent surgery for AAA. A family survey was used to determine whether members of the operated patients had AAA or had died due to ruptured aneurysms. There were 276 cases (including 12 females) with sporadic AAA and 81 cases (including 5 females) who were members of families with at least one other member having AAA. Comparison between sporadic AAA (SAAA) and familial AAA (FAAA) demonstrated the following differences: 1) diagnosis was made earlier in FAAA (p < 0.05) than in SAAA (64.1 versus 66 years of age respectively), 2) patients with FAAA were younger at the time of rupture (65.4 versus 75.1 years, p < 0.001), 3) the incidence of rupture was greater in FAAA than in SAAA (32.4% versus 8.7% p < 0.001), and finally 4) the relative risk of developing AAA was 18 times greater in members of a family with AAA than in the reference population. Early screening with ultrasonic examinations in at least patient's brother's over 50 years would not be an unjustified expense. The frequency of later examinations would depend on the size of the aorta initially observed. If FAAA is evidenced, under normal conditions, corrective surgery should be proposed earlier than for sporadic AAA.
Disciplines :
General & internal medicine
Author, co-author :
Limet, Raymond ;  Université de Liège - ULiège > Département des sciences cliniques > Chirurgie cardio-vasculaire et thoracique
Language :
French
Title :
Le risque familial de l'anévrisme de l'aorte abdominale et ses conséquences pour l'organisation d'un dépistage sélectif
Alternative titles :
[en] Familial Risk of Abdominal Aortic Aneurysm and Its Consequences for Organization of Selective Detection
Publication date :
1995
Journal title :
Journal des Maladies Vasculaires
ISSN :
0398-0499
Publisher :
Masson, Paris, France
Volume :
20
Issue :
4
Pages :
285-7
Peer reviewed :
Peer Reviewed verified by ORBi
Available on ORBi :
since 12 February 2012

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