2022 ACC/AHA Guideline for the Diagnosis and Management of Aortic Disease

. Author manuscript; available in PMC: 2023 Dec 13.

Published in final edited form as: J Am Coll Cardiol. 2022 Nov 2;80(24):e223–e393. doi: 10.1016/j.jacc.2022.08.004

Recommendations for the Threshold for AAA Repair

Referenced studies that support the recommendations are summarized in the Online Data Supplement.

COR	LOE	RECOMMENDATIONS
1	A	1. In patients with unruptured AAA, repair is recommended in those with a maximal aneurysm diameter of ≥5.5 cm in men or ≥5.0 cm in women.^1–6
1	B-NR	2. In patients with unruptured AAA who have symptoms that are attributable to the aneurysm, repair is recommended to reduce the risk of rupture.^7,8
2b	C-LD	3. In patients with unruptured saccular AAA, intervention to reduce the risk of rupture may be reasonable.⁹
2b	C-LD	4. In patients with unruptured AAA and aneurysm growth of ≥0.5 cm in 6 months, repair to reduce the risk of rupture may be reasonable.^1–5