80 year old man with incidental findings on ultrasound

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Aortic Aneurysm:

  • Atherosclerotic aneurysms are most commonly located in the abdominal aorta, 90% of AAA are infrarenal
  • Risks/Complications: Rupture, expansion and/or leakage (Pain), aortocaval fistula (CHF, leg swelling), Distal embolization (blue toe syndrome), aortoenteric fistula, infection
  • Rupture: the risk of rupture is small in aneurysms less than 5 cm
  • AAA is defined as vessel diameter > 3 cm. CT is most accurate study to determine size of aneurysm. Angiography routinely done for preoperative staging; also yields more accurate data regarding status of mesenteric and renal vessels than does CT. Angiography is not reliable for size determination
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