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Endoluminal Treatment of Infra-Renal Abdominal Aortic Aneurysms

  • Marie Josee E. van Rijn
  • Frederico M. V. Bastos Gonçalves
  • Sander ten Raa
  • Hence J. M. Verhagen
Chapter

Case Report

A 68-year-old male was referred for investigation and management of an asymptomatic abdominal aortic aneurysm (AAA). It was an incidental finding during an abdominal ultrasound. His past medical history included smoking and a coronary artery bypass graft, performed 3 years earlier. On examination he had an expansible pulsatile abdominal mass and all peripheral pulses were present.

Question 1

What is the optimal method of preoperative AAA assessment?
  1. A.

    Abdominal duplex ultrasound (DUS)

     
  2. B.

    Contrast-enhanced high-resolution computer tomography angiography (CTA) of the aorta, iliac and femoral arteries and 3 dimensional reconstruction software

     
  3. C.

    DUS and calibrated digital subtraction angiography (DSA) of the aorta and iliac arteries

     
  4. D.

    Magnetic resonance angiography (MRA)

     
A CTA was obtained and visualized using dedicated 3D reconstruction software. This revealed an infra-renal AAA with a maximum diameter of 62 mm. The proximal aneurysm neck (area from the lowermost...

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Marie Josee E. van Rijn
    • 1
  • Frederico M. V. Bastos Gonçalves
    • 1
    • 2
  • Sander ten Raa
    • 1
  • Hence J. M. Verhagen
    • 1
  1. 1.Department of Vascular SurgeryErasmus University Medical CenterRotterdamThe Netherlands
  2. 2.Vascular Surgery DepartmentSanta Marta Hospital, CHLCLisbonPortugal

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