Review Note
Last Update: 04/07/2025 04:47 AM
Current Deck: BPT Questions::Cardiology
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Commit #317168
A 65 - year old accountant undergoes an abdominal US due to mildly abnromal LFTs. The US reveals a few mobile gallstones and a 5cm abdominal aortic aneurysm. He drinks 3-4 SD of etOH every day and is an ex-smoker. He is known to have HTN and is taking Irbesartan 150mg. BP control is satisfactory with a mean systolic BP of 130mmg Hg.
What is the most appropriate course of action?
A. Abdominal CT with contrast immediately and suspension of driver's license
B. Endovascular aneurysm repair immediately
C. Follow-up US in 6 months and continue driving
C. Open surgical aneurysm repair immediately.
What is the most appropriate course of action?
A. Abdominal CT with contrast immediately and suspension of driver's license
B. Endovascular aneurysm repair immediately
C. Follow-up US in 6 months and continue driving
C. Open surgical aneurysm repair immediately.
Back
Commit #317168
C
AAA is an artery that has enlarged to greater than 1.5 times the expected diameter. In the infra-renal aorta the threshhold is accepted as 3cm.
Medical mx: CVD risk reduction, antiplatelet, statin, antihypertensive therapy. The best medical manegement is not to limit expansion or reduce the size of the AAA.
Australian national driving regulations stipulate that untreated atherosclerotic aortic aneurysms > 5.5cm disqualifiy patients from an unconditional driving licence except with approval of a vascular surgeon.
Patients with aneurysms (M > 5.5, women > 5) should be considered for elective aneurym repair.
- There is no long-term survival benefit with open on endovascular repair.
AAA is an artery that has enlarged to greater than 1.5 times the expected diameter. In the infra-renal aorta the threshhold is accepted as 3cm.
Medical mx: CVD risk reduction, antiplatelet, statin, antihypertensive therapy. The best medical manegement is not to limit expansion or reduce the size of the AAA.
Australian national driving regulations stipulate that untreated atherosclerotic aortic aneurysms > 5.5cm disqualifiy patients from an unconditional driving licence except with approval of a vascular surgeon.
Patients with aneurysms (M > 5.5, women > 5) should be considered for elective aneurym repair.
- There is no long-term survival benefit with open on endovascular repair.