Generally, abdominal aortic aneurysm in 87-year-old people is not recommended to open abdominal aortic aneurysm surgery, but you can consider interventional therapy, the current interventional therapy can be completed under local anesthesia, with the advantages of short operating time, fast recovery, and fewer complications. The principle of abdominal aortic aneurysm treatment is that the aneurysm is too large (4cm) or grows too fast, such abdominal aortic aneurysm is prone to rupture, which is life-threatening, so active treatment is necessary. Abdominal aortic aneurysms are caused by lesions or damage to the wall of the abdominal aorta, resulting in a limited bulge. Generally, there are no obvious symptoms, but a small number of patients have abdominal pain or a pulsating mass in the abdomen, which usually needs to be surgically removed. If the patient is 87 years old and cannot undergo surgical treatment, he/she can use drugs such as sodium dibasic alginate tablets, atorvastatin calcium tablets and probucol under the guidance of the doctor, which can stabilize the patient’s blood lipids and control the growth of the abdominal aortic aneurysm. It is recommended that 87-year-old people diagnosed with abdominal aortic aneurysm should seek medical treatment in time and under the guidance of doctors to avoid delays.