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Connective tissue disorders could contribute to the pathogenesis of both abdominal aortic aneurysms (AAA) and hernias. We tested the hypothesis that hernias in AAA patients contribute to increased severity of the aneurysmal disease. A questionnaire was used to collect information from 195 AAA patients divided into four groups (1) survivors ( = 22) of ruptured AAA, (2) patients ( = 9 after elective open repair, (3) patients ( = 43) after elective endovascular repair (EVAR), and (4) patients ( = 4 under surveillance of AAA. The c