Endovascular Management of Thoracic Aneurysm
A 75-year-old male has been referred to your service after a contrast-enhanced spiral computed tomography (CT) performed for investigation of chronic cough revealed an incidental finding of a 7.3 cm thoracic aortic aneurysm (TAA).
Past medical history includes moderate chronic obstructive pulmonary disease (COPD), hypertension, insulin-dependent diabetes and a history of coronary artery catheterization and stenting 5 years ago. The patient denies current angina symptoms. On examination, vital signs are stable, cardio-respiratory examination is within normal limits, and arterial examination reveals no carotid bruits, normal heart sounds without murmurs, no palpable abdominal masses and all upper and lower limb distal pulses are palpable. His routine blood work is within normal range.
Ankle brachial index (ABI)
Contrast-enhanced computed tomography angiography (CTA) of chest, abdomen and pelvis with 3D reconstruction
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