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Up to 50% of PAA present with acute limb ischaemia is due to thrombosis or distal embolization. Rupture is an uncommon complication affecting less than 3% of PAA. Diameter greater than 2 cm or mural thrombosis are indications for elective intervention. Open surgical repair is the first treatment option. In selected patients, endovascular repair can be performed. Midterm results of this technique, recently reported, are comparable to open repair.

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