Postoperative complication: myocardial infarction 7% (mortality is 25%), myocardial ischemia is 8.8%, heart failure is 3.5%, multiorgan failure syndrome is 5.3% (mortality is 33%), renal failure is 15.8%, pulmonary complication is 15.8% (morality is 11%), lower extremity ischemia is 7% (mortality is 75%). Conclusion: Association of a modern anaesthetic technique and an invasive hemodynamic monitoring to provide a stable hemodynamic during perioperative periode may assure a safe anaesthetic management for patients undergoing elective abdominal aortic aneurysm repair.