The first historical records about AAA are from Ancient Rome in the 2nd century AD, when Greek surgeon Antyllus tried to treat the AAA with proximal and distal ligature, central incision and removal of thrombotic material from the aneurysm.
However, attempts to treat the AAA surgically were unsuccessful until 1923. In that year, Rudolph Matas (who also proposed the concept of endoaneurysmorrhaphy), performed the first successful aortic ligation on a human.
Other methods that were successful in treating the AAA included wrapping the aorta with polyethene cellophane, which induced fibrosis and restricted the growth of the aneurysm.
Albert Einstein was operated on by Rudolf Nissen with use of this technique in 1949, and survived five years after the operation. Endovascular aneurysm repair was first performed in the late 1980s and has been widely adopted in the subsequent decades.
Further Reading
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