Screening of the elderly population of Semey region for infra-renal abdominal aortic aneurism with subsequent management

This is the first survey in Kazakhstan designed to evaluate the presence of abdominal aortic aneurism (AAA) in the population 60 years of age and older. The total number of people screened was 1011, of them 363 (35.9±1.5%) were males and 648 (64.1±1.5%) were females. The presence of AAA was established in 31 cases (3.1±0.5%). The vast majority (87.1±6.02%) of AAA cases belonged to small-size lesions. Co-existing impairment of coronary channel was seen in 18 cases (85.7±7.8%), pathology of brachiocephal arteries was diagnosed in 9 cases (42.8±11,06%), impairment of the arteries of lower extremities was seen in 15 cases (71.4±10.1%). The decreased rate and severity of complications as well as improved surgical outcome became possible due to the early identification of patients with AAA, timely correction of co-existing impairment of coronary arteries, brachioceplal arteries and arteries of lower extremities, re-implantation of inferior mesenteric artery and internal iliac arteries and adequate surgical management.