Highlight
1. Women with ruptured abdominal aortic aneurysm (RAAA) are older and more likely to undergo open repair compared to men.
2. Ninety-day mortality is higher in women, but sex is not an independent predictor after adjusting for confounders.
3. Women exhibit lower relative long-term survival and greater postdischarge care needs.
4. Reinterventions occur more after endovascular repair (EVAR) and less frequently in women.

