AbstractAn abdominal aortic aneurysm (AAA) is a pathologic condition characterized by the progressive dilatation of the abdominal aorta, which can lead to rupture. Risk factors for AAA include hypertension, coronary artery disease, tobacco use, male sex, family history, age over 65, and peripheral artery disease. AAA rupture is a catastrophic emergency with high mortality rates if not promptly treated. Mortality estimates for ruptured AAAs range from 75% to 90%. AAAs are commonly found in men aged 65-85 years and are usually asymptomatic until rupture occurs. The prevalence of AAA has been increasing, especially in older individuals, smokers, and those with hypertension. Surgical repair is recommended for large or symptomatic AAAs, while surveillance is appropriate for smaller aneurysms. AAA is a major public health issue and is considered a “silent killer”. The history of AAA management dates to the 19th century, with attempts at surgical intervention.