Introduction. Abdominal aortic aneurysm diameter is one of the most important
parameters in the diagnostic and therapeutic algorithm for aneurysm
follow-up. Currently, two therapeutic modalities are used: open surgery and
endovascular aortic repair. The aim of this study is to analyze the impact
of the maximum transverse diameter of the abdominal aortic aneurysm on the
incidence of general and specific complications. Material and Methods. The
retrospective study included 75 patients with infrarenal abdominal aortic
aneurysm who underwent endovascular aortic repair in the period from July
2008 to January 2020. The patients were divided into two groups: group A
with an abdominal aortic aneurysm size ? 5.9 cm, and group B with an
abdominal aortic aneurysm size ? 6.0 cm. Results. A total of 41.3% of
patients presented with a maximum transverse aneurysm diameter of ? 5.9 cm,
and 58.7% of patients had ? 6.0 cm. Of comorbid diseases, chronic
obstructive pulmonary disease was more prevalent in patients with a large
abdominal aortic aneurysm (group A 25.8%; group B 59.1%). None of the other
comorbidities showed a statistically significant difference between the two
groups of patients. Early complications were present in a total of 14.7% of
patients, of which 12.9% of patients with a small and 15.9% with a large
abdominal aortic aneurysm. Late complications occurred in a total of 18.7%
of patients, in 9.7% of patients with a small and 25% of patients with a
large abdominal aortic aneurysm. Conclusion. Patients with abdominal aortic
aneurysms with a maximum transverse diameter of 6 cm and larger, present
with a higher rate of late postoperative complications, increase in
aneurysmal sac on control multislice computed tomography angiography, and
have a worse prognosis compared to patients with smaller abdominal aortic
aneurysms.