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Abdominal Aortic Aneurysm, Diagnosis: Multimedia

Author: Martin G Radvany, MD, FSIR, Adjunct Assistant Professor, Departments of Radiology and Nuclear Medicine, Uniformed Services University of the Health Sciences; Interventional Neuroradiology Fellow, Johns Hopkins Hospital
Coauthor(s): Venerando Seguritan, MD, Staff Radiologist, Radiology, The Radiology Group, Inc.
Contributor Information and Disclosures

Updated: Oct 2, 2008

Multimedia

Radiograph shows calcification of the abdominal a...
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Media file 1: Radiograph shows calcification of the abdominal aorta. The left wall is clearly depicted and appears aneurysmal; however, the right wall overlies the spine.
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Radiograph shows calcification of the abdominal a...

Radiograph shows calcification of the abdominal aorta. The left wall is clearly depicted and appears aneurysmal; however, the right wall overlies the spine.

The lateral view clearly shows calcification of b...
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Media file 2: The lateral view clearly shows calcification of both walls. Abdominal aortic aneurysm can be diagnosed with certainty.
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The lateral view clearly shows calcification of b...

The lateral view clearly shows calcification of both walls. Abdominal aortic aneurysm can be diagnosed with certainty.

CT demonstrates an abdominal aortic aneurysm. The...
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Media file 3: CT demonstrates an abdominal aortic aneurysm. The aneurysm was noted during workup for back pain, and CT was ordered after the abdominal aortic aneurysm was identified on radiographs. No evidence of rupture is seen (same patient as in Image 2 in Multimedia).
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CT demonstrates an abdominal aortic aneurysm. The...

CT demonstrates an abdominal aortic aneurysm. The aneurysm was noted during workup for back pain, and CT was ordered after the abdominal aortic aneurysm was identified on radiographs. No evidence of rupture is seen (same patient as in Image 2 in Multimedia).

Arteriogram demonstrates an infrarenal abdominal ...
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Media file 4: Arteriogram demonstrates an infrarenal abdominal aortic aneurysm. This arteriogram was obtained in preparation of an endovascular repair of the aneurysm (same patient as in Image 2 in Multimedia).
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Arteriogram demonstrates an infrarenal abdominal ...

Arteriogram demonstrates an infrarenal abdominal aortic aneurysm. This arteriogram was obtained in preparation of an endovascular repair of the aneurysm (same patient as in Image 2 in Multimedia).

Lateral arteriogram demonstrates an infrarenal ab...
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Media file 5: Lateral arteriogram demonstrates an infrarenal abdominal aortic aneurysm. Demonstration of the superior mesenteric artery, inferior mesenteric artery, and celiac artery on the lateral arteriogram in important to completely evaluate the extent of the aneurysm.
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Lateral arteriogram demonstrates an infrarenal ab...

Lateral arteriogram demonstrates an infrarenal abdominal aortic aneurysm. Demonstration of the superior mesenteric artery, inferior mesenteric artery, and celiac artery on the lateral arteriogram in important to completely evaluate the extent of the aneurysm.

Arteriogram after successful endovascular repair ...
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Media file 6: Arteriogram after successful endovascular repair of an abdominal aortic aneurysm.
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Arteriogram after successful endovascular repair ...

Arteriogram after successful endovascular repair of an abdominal aortic aneurysm.

Ultrasonogram of a patient with an abdominal aort...
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Media file 7: Ultrasonogram of a patient with an abdominal aortic aneurysm. This aneurysm was best visualized on a transverse or axial image. This patient underwent a conventional abdominal aortic aneurysm repair.
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Ultrasonogram of a patient with an abdominal aort...

Ultrasonogram of a patient with an abdominal aortic aneurysm. This aneurysm was best visualized on a transverse or axial image. This patient underwent a conventional abdominal aortic aneurysm repair.

MRI of a 77-year-old man with leg pain believed t...
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Media file 8: MRI of a 77-year-old man with leg pain believed to be secondary to degenerative disk disease. During evaluation, an abdominal aortic aneurysm was discovered.
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MRI of a 77-year-old man with leg pain believed t...

MRI of a 77-year-old man with leg pain believed to be secondary to degenerative disk disease. During evaluation, an abdominal aortic aneurysm was discovered.

More on Abdominal Aortic Aneurysm, Diagnosis

Overview: Abdominal Aortic Aneurysm, Diagnosis
Imaging: Abdominal Aortic Aneurysm, Diagnosis
Follow-up: Abdominal Aortic Aneurysm, Diagnosis
Multimedia: Abdominal Aortic Aneurysm, Diagnosis
References
Further Reading
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References

  1. Upchurch GR Jr, Schaub TA. Abdominal aortic aneurysm. Am Fam Physician. Apr 1 2006;73(7):1198-204. [Medline].

  2. Tan JW, Yeo KK, Laird JR. Food and Drug Administration-approved endovascular repair devices for abdominal aortic aneurysms: a review. J Vasc Interv Radiol. Jun 2008;19(6 Suppl):S9-S17. [Medline].

  3. Lovegrove RE, Javid M, Magee TR, Galland RB. A meta-analysis of 21,178 patients undergoing open or endovascular repair of abdominal aortic aneurysm. Br J Surg. Jun 2008;95(6):677-84. [Medline].

  4. [Best Evidence] Lederle FA, Kane RL, MacDonald R, Wilt TJ. Systematic review: repair of unruptured abdominal aortic aneurysm. Ann Intern Med. May 15 2007;146(10):735-41. [Medline].

  5. Pearce WH, Shively VP. Abdominal aortic aneurysm as a complex multifactorial disease: interactions of polymorphisms of inflammatory genes, features of autoimmunity, and current status of MMPs. Ann N Y Acad Sci. Nov 2006;1085:117-32. [Medline].

  6. Hirose H, Takagi M, Miyagawa N. Genetic risk factor for abdominal aortic aneurysm: HLA-DR2(15), a Japanese study. J Vasc Surg. Mar 1998;27(3):500-3. [Medline].

  7. Golledge J, Muller J, Daugherty A, Norman P. Abdominal aortic aneurysm: pathogenesis and implications for management. Arterioscler Thromb Vasc Biol. Dec 2006;26(12):2605-13. [Medline].

  8. Rasmussen TE, Hallett JW Jr. Inflammatory aortic aneurysms. A clinical review with new perspectives in pathogenesis. Ann Surg. Feb 1997;225(2):155-64. [Medline].

  9. Salo JA, Soisalon-Soininen S, Bondestam S. Familial occurrence of abdominal aortic aneurysm. Ann Intern Med. Apr 20 1999;130(8):637-42. [Medline].

  10. Craig SR, Wilson RG, Walker AJ. Abdominal aortic aneurysm: still missing the message. Br J Surg. Apr 1993;80(4):450-2. [Medline].

  11. Alexander S, Bosch JL, Hendriks JM, Visser JJ, Van Sambeek MR. The 30-day mortality of ruptured abdominal aortic aneurysms: influence of gender, age, diameter and comorbidities. J Cardiovasc Surg (Torino). Oct 2008;49(5):633-7. [Medline].

  12. Harthun NL. Current issues in the treatment of women with abdominal aortic aneurysm. Gend Med. Mar 2008;5(1):36-43. [Medline].

  13. Blanchard JF. Epidemiology of abdominal aortic aneurysms. Epidemiol Rev. 1999;21(2):207-21. [Medline].

  14. Rehm JP, Grange JJ, Baxter BT. The formation of aneurysms. Semin Vasc Surg. Sep 1998;11(3):193-202. [Medline].

  15. Ahn SS, Rutherford RB, Johnston KW. Reporting standards for infrarenal endovascular abdominal aortic aneurysm repair. Ad Hoc Committee for Standardized Reporting Practices in Vascular Surgery of The Society for Vascular Surgery/International Society for Cardiovascular Surgery. J Vasc Surg. Feb 1997;25(2):405-10. [Medline].

  16. Hollier LH, Taylor LM, Ochsner J. Recommended indications for operative treatment of abdominal aortic aneurysms. Report of a subcommittee of the Joint Council of the Society for Vascular Surgery and the North American Chapter of the International Society for Cardiovascular Surgery. J Vasc Surg. Jun 1992;15(6):1046-56. [Medline].

  17. Johnston KW, Rutherford RB, Tilson MD. Suggested standards for reporting on arterial aneurysms. Subcommittee on Reporting Standards for Arterial Aneurysms, Ad Hoc Committee on Reporting Standards, Society for Vascular Surgery and North American Chapter, International Society for Cardiovasc. J Vasc Surg. Mar 1991;13(3):452-8. [Medline].

  18. Grollman J, Bettmann MA, Boxt LM. Pulsatile abdominal mass. American College of Radiology. ACR Appropriateness Criteria. Radiology. Jun 2000;215 Suppl:55-9. [Medline].

  19. Rentschler ME, Baxter BT. Medical therapy approach for treating abdominal aortic aneurysm. Vascular. Nov-Dec 2007;15(6):361-5. [Medline].

  20. Rayt HS, Sutton AJ, London NJ, Sayers RD, Bown MJ. A Systematic Review and Meta-analysis of Endovascular Repair (EVAR) for Ruptured Abdominal Aortic Aneurysm. Eur J Vasc Endovasc Surg. Sep 16 2008;[Medline].

  21. Muszbek N, Thompson MM, Soong CV, Hutton J, Brasseur P, van Sambeek MR. Systematic review of utilities in abdominal aortic aneurysm. Eur J Vasc Endovasc Surg. Sep 2008;36(3):283-9. [Medline].

  22. Wilt TJ, Lederle FA, Macdonald R, Jonk YC, Rector TS, Kane RL. Comparison of endovascular and open surgical repairs for abdominal aortic aneurysm. Evid Rep Technol Assess (Full Rep). Aug 2006;1-113. [Medline].

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Further Reading

Screening for abdominal aortic aneurysms: recommendation statement .
United States Preventive Services Task Force.  1996 (revised 2005).  16 pages.  NGC:003960
 
Aortic aneurysm and dissection .
Finnish Medical Society Duodecim.  2004 Feb 26.  Various pagings. [NGC Update Pending] NGC:004359
 
Acute chest pain - suspected aortic dissection .
American College of Radiology.  1995 (revised 2005).  5 pages.  NGC:004621

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Keywords

abdominal aortic aneurysm, inflammatory aortic aneurysm, aortic aneurysm, AAAs, triple-A, triple A, abdominal aneurysm, noninflammatory aneurysms, inflammatory aneurysms, abdominal aortic dissection, aneurysm, dissection

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Contributor Information and Disclosures

Author

Martin G Radvany, MD, FSIR, Adjunct Assistant Professor, Departments of Radiology and Nuclear Medicine, Uniformed Services University of the Health Sciences; Interventional Neuroradiology Fellow, Johns Hopkins Hospital
Martin G Radvany, MD, FSIR is a member of the following medical societies: American College of Radiology, American Heart Association, American Medical Association, American Roentgen Ray Society, American Society of Neuroradiology, International Society of Endovascular Specialists, Radiological Society of North America, Society of Interventional Radiology, Society of NeuroInterventional Surgery, and Western Angiographic and Interventional Society
Disclosure: Nothing to disclose.

Coauthor(s)

Venerando Seguritan, MD, Staff Radiologist, Radiology, The Radiology Group, Inc.
Venerando Seguritan, MD is a member of the following medical societies: American College of Radiology, American Medical Association, American Roentgen Ray Society, Radiological Society of North America, and Texas Medical Association
Disclosure: Nothing to disclose.

Medical Editor

Eric P Weinberg, MD, Associate Professor, Department of Radiology, University of Rochester Medical Center, Strong Memorial Hospital
Eric P Weinberg, MD is a member of the following medical societies: American College of Radiology, American Roentgen Ray Society, and Radiological Society of North America
Disclosure: Nothing to disclose.

Pharmacy Editor

Bernard D Coombs, MB, ChB, PhD, Consulting Staff, Department of Specialist Rehabilitation Services, Hutt Valley District Health Board, New Zealand
Disclosure: Nothing to disclose.

Managing Editor

Spencer B Gay, MD, Professor of Radiology, Director of Body Computed Tomography, Department of Radiology, University of Virginia Health Sciences Center
Disclosure: Nothing to disclose.

CME Editor

Robert M Krasny, MD, Consulting Staff, Department of Radiology, The Angeles Clinic and Research Institute
Robert M Krasny, MD is a member of the following medical societies: American Roentgen Ray Society and Radiological Society of North America
Disclosure: Nothing to disclose.

Chief Editor

Kyung J Cho, MD, FACR, William Martel Professor of Radiology, Interventional Radiology Fellowship Director, University of Michigan Health System
Kyung J Cho, MD, FACR is a member of the following medical societies: American College of Radiology, American Heart Association, American Medical Association, American Roentgen Ray Society, Association of University Radiologists, and Radiological Society of North America
Disclosure: Nothing to disclose.

 
 
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