Cvetkovic S, Koncar I, Ducic S, et al. - Early and long-term results of open repair of patients with inflammatory abdominal aortic aneurysm (IAAA) were compared with a matched cohort of patients with abdominal aortic aneurysm (AAA). Researchers conducted this retrospective single-center cohort study using prospectively collected data from 1,786 patients from an institutional registry between 2009 and 2015. Using propensity score analysis, they matched patients with IAAA and AAA controlling for demographics, baseline comorbidities, and AAA parameters in a 1:2 ratio. A follow up of 5 years was performed. They assessed 76 patients with IAAA and 152 patients with AAA. Observations suggest that open repair of IAAA is challenging; further, it carries a higher perioperative risk and long-term infection rate compared with AAA, even in high-volume centers. Intraoperative lesion of intraabdominal organs, longer in-hospital and intensive care stays, and a higher in-hospital mortality rate were observed among patients with IAAA. Intraoperative injury of adjacent organs, bleeding, and coronary events are the main causes of complications. Equal long-term survival was observed among patients with AAA in a matched cohort.