Presentation and outcomes of thoracic and thoracoabdominal aortic aneurysms in females, existing gaps, and future directions: A descriptive review

Semin Vasc Surg. 2023 Dec;36(4):501-507. doi: 10.1053/j.semvascsurg.2023.10.004. Epub 2023 Oct 10.

Abstract

Thoracic and thoracoabdominal aortic aneurysms are more common in men. Yet, females often have worse outcomes, fewer interventions, and lower treatment rates. Females have also benefited less from the research and treatment of those diseases than men. Understanding sex- and sex-specific differences in thoracic and thoracoabdominal aortic aneurysms can improve care delivery, reduce disparities, and optimize outcomes for females with thoracic aortic aneurysms and thoracoabdominal aortic aneurysms. The authors reviewed the literature on the presentation and outcomes of thoracic and thoracoabdominal aortic aneurysms in females, discussing the existing gaps and future directions to address them.

Keywords: Aneurysms in females; DTAA; Descending thoracic aneurysm; TAAA; Thoracoabdominal aortic aneurysm.

Publication types

  • Review

MeSH terms

  • Aortic Aneurysm, Abdominal* / diagnostic imaging
  • Aortic Aneurysm, Abdominal* / surgery
  • Aortic Aneurysm, Thoracic* / diagnostic imaging
  • Aortic Aneurysm, Thoracic* / surgery
  • Aortic Aneurysm, Thoracoabdominal*
  • Female
  • Humans
  • Male
  • Postoperative Complications
  • Retrospective Studies
  • Time Factors
  • Treatment Outcome
  • Vascular Surgical Procedures