Evolving Approaches to Abdominal Aortic Aneurysms: A Short Review

Abstract Abdominal Aortic Aneurysm (AAA) remains a significant cause of morbidity and mortality, particularly in older adults. Over the past two decades, advances in imaging, risk stratification, and treatment modalities have transformed the management of AAA. This short review highlights the current understanding of AAA pathophysiology, summarizes screening and surveillance strategies, and discusses the evolution of surgical approaches, particularly the shift from open surgical repair to Endovascular Aneurysm Repair (EVAR). Ongoing innovations and unresolved challenges are also briefly addressed.