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INTRODUCTION The association of higher hospital volume(HV) with lower mortality after open abdominal aortic aneurysm repair(OAAA) is well known; however, the underlying mechanism for improved outcomes is poorly understood. Better patient selection, lower risk of complications, and improved ability to rescue patients after adverse events are assumed mechanisms, but little data exist to validate this hypothesis. The purpose of this analysis was to determine the association of HV with patient selection, incidence of complications and failu