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Previous Volume 348:1895-1901 May 8, 2003 Number 19 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the authors' clinical recommendations.

A 68-year-old man with a 50-year history of smoking presented with amaurosis fugax and was found to have an incidental infrarenal aortic dilatation, with a maximal diameter of 3.2 cm. After five years of routine follow-up, the aortic diameter has increased to 4.8 cm. What is the appropriate follow-up for and management of this case?

The Clinical Problem

In the absence of symptoms related to . . . [Full Text of this Article]

Epidemiology

Pathogenesis

Strategies and Evidence

Surgical Intervention

Smoking Cessation and Medical Therapy

Screening and Surveillance

Areas of Uncertainty

Endovascular Repair

Patients' Preferences and Timing of Surgery

Guidelines

Summary and Recommendations

Source Information

From the University Hospitals of Coventry and Warwickshire, National Health Service Trust, Coventry, United Kingdom (J.T.P.); and the Department of Vascular Surgery, Imperial College at Charing Cross, London (R.M.G.).

Address reprint requests to Dr. Powell at the University Hospitals of Coventry and Warwickshire, NHS Trust, Clifford Bridge Rd., Coventry CV2 2DX, United Kingdom, or at janet.powell@uhcw.nhs.uk.

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