Opportunity of open surgical repair in abdominal aortic aneurysm        LIANG Wei, ZHANG Ji-wei. Department of Vascular Surgery, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200127, China
Corresponding author：ZHANG Ji-wei，E-mail：zhangjiwei001@sina.com
Abstract    It is the core concept to exclude aneurysm and reconstruct the abdominal aorta for abdominal aortic aneurysm (AAA) treatment. The purpose of the treatment is to prevent aneurysm rupture. Evaluation of the risk of AAA rupture and the patients’ condition are the key for the indication of operation. Open surgical repair (OR) and endovascular aneurysm repair (EVAR) are two treatments for AAA. Though the early result of the EVAR is better than that of the OR according to the multi-center clinical studies, the mid-result and long-result are the same between two treatments. For the hostile anatomy, OR is better than EVAR for AAA treatment. The OR still has the applicability for the AAA treatment.