Abdominal Aortic Aneurysm Questions & Answers

Updated: Jan 08, 2019
  • Author: Saum A Rahimi, MD, FACS; Chief Editor: Vincent Lopez Rowe, MD  more...
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Questions & Answers

Overview

Which group is at highest risk for abdominal aortic aneurysms (AAAs)?

What are the signs and symptoms of abdominal aortic aneurysms (AAAs)?

How are abdominal aortic aneurysm (AAA) diagnosed?

What is the role of surgical intervention in the treatment of abdominal aortic aneurysm (AAA)?

How are abdominal aortic aneurysms (AAAs) defined?

What are possible causes of an abdominal aortic aneurysm (AAA)?

What are the risk factors for abdominal aortic aneurysm (AAA)?

How are most abdominal aortic aneurysms (AAAs) detected?

What is the role of ultrasonography in the workup of abdominal aortic aneurysm (AAA)?

What are the treatment options for abdominal aortic aneurysms (AAAs)?

Where is patient information for abdominal aortic aneurysm (AAA) available?

What is the anatomy of the abdominal aorta?

Where in the body are most abdominal aortic aneurysms (AAAs) located?

What anatomic considerations should be addressed when planning surgical repair of abdominal aortic aneurysm (AAA)?

What are inflammatory abdominal aortic aneurysms (IAAAs)?

What is the pathogenesis of abdominal aortic aneurysms (AAAs)?

At what diameter is an infrarenal aorta considered an abdominal aortic aneurysm (AAA)?

Which mechanisms are involved in the pathogenesis of abdominal aortic aneurysm (AAA)?

What do surgical specimens of abdominal aortic aneurysm (AAA) reveal?

What is the role of elastin in the pathogenesis of abdominal aortic aneurysm (AAA) present?

What is the role of matrix metalloproteinases (MMPs) in the pathogenesis of abdominal aortic aneurysm (AAA)?

What factors may trigger protease activation in the pathogenesis of abdominal aortic aneurysms (AAAs)?

What is the role of immunoreactive proteins in the pathogenesis of abdominal aortic aneurysm (AAA)?

What is the role of genetics in the pathogenesis of abdominal aortic aneurysm (AAA)?

What is the role of atherosclerosis in the pathogenesis of abdominal aortic aneurysm (AAA)?

Which risk factors are common to abdominal aortic aneurysm (AAA) and atherosclerosis?

What are the USPSTF recommendations for abdominal aortic aneurysms (AAAs) screening?

What are risk factors for abdominal aortic aneurysm (AAA)?

What are the less common causes of abdominal aortic aneurysm (AAA)?

What are the genetic etiologic factors of abdominal aortic aneurysm (AAA)?

What are the risk factors for rupture of abdominal aortic aneurysm (AAA)?

What is the prevalence of abdominal aortic aneurysm (AAA) in the US?

What is the global prevalence of abdominal aortic aneurysm (AAA)?

How does the incidence of abdominal aortic aneurysm (AAA) vary between males and females and among races?

What is the survival rate of abdominal aortic aneurysm (AAA) rupture?

What is the difference in mortality rates between elective and emergency repair of abdominal aortic aneurysm (AAA)?

Which factors influence the long-term prognosis of abdominal aortic aneurysm (AAA)?

Presentation

What should be the focus of history in suspected abdominal aortic aneurysms (AAAs)?

What are the signs and symptoms of abdominal aortic aneurysm (AAA)?

What are the symptoms of a ruptured abdominal aortic aneurysm (AAA)?

Which physical findings suggest aortic aneurysm (AAA)?

What does the presence of an abdominal bruit suggest in suspected abdominal aortic aneurysm (AAA)?

How frequently is a classic presentation of abdominal aortic aneurysm (AAA) seen?

What is the role of blood pressure in the diagnosis of abdominal aortic aneurysm (AAA)?

What are potential complications of abdominal aortic aneurysms (AAAs)?

DDX

Which conditions should be included in the differential diagnoses of abdominal aortic aneurysm (AAA)?

What are the differential diagnoses for Abdominal Aortic Aneurysm?

Workup

How should the workup of abdominal aortic aneurysm (AAA) be approached?

What is the role of lab testing in the workup of abdominal aortic aneurysm (AAA)?

What is the role of ultrasonography in the workup of abdominal aortic aneurysm (AAA)?

What is the role of radiography in the workup of abdominal aortic aneurysm (AAA)?

What is the role of CT scanning in the diagnostic and preoperative evaluation of aortic aneurysm (AAA)?

How prevalent is a finding of focal outpouching on CT scan for abdominal aortic aneurysm (AAA)?

What is the preoperative use for CT scanning in abdominal aortic aneurysm (AAA)?

What are the limitations of CT scanning in the workup of abdominal aortic aneurysm (AAA)?

What is the role of MRI in the workup of abdominal aortic aneurysm (AAA)?

What are limitations of MRI in the workup of abdominal aortic aneurysm (AAA)?

What is the role of angiography in the workup of abdominal aortic aneurysm (AAA)?

What are the limitations of angiography in the workup of abdominal aortic aneurysm (AAA)?

What is the role of DSA in the workup of abdominal aortic aneurysm (AAA)?

What is the role of IA-CTA in the workup of abdominal aortic aneurysm (AAA)?

What is the role of MRA in the workup of abdominal aortic aneurysm (AAA)?

What is the role of echocardiography in the workup of abdominal aortic aneurysm (AAA)?

Which supplemental studies may be useful in the workup of abdominal aortic aneurysm (AAA)?

Treatment

What are the treatment options for abdominal aortic aneurysm (AAA)?

What are the SVS treatment guidelines for unruptured abdominal aortic aneurysm (AAA)?

What are treatment options for small abdominal aortic aneurysms (AAAs)?

How do treatment options vary based on the size of an abdominal aortic aneurysm (AAA)?

What factors are considered when deciding whether to repair an abdominal aortic aneurysm (AAA)?

What are the contraindications for surgical intervention of abdominal aortic aneurysms (AAAs)?

What is the prehospital for a patient with a ruptured abdominal aortic aneurysm (AAA)?

What is the treatment of suspected abdominal aortic aneurysm (AAA) when a pulsatile abdominal mass is present?

What is the significance of elevated abdominal aortic aneurysm (AAA) wall tension?

What is the role of drug treatment in normotensive leaking abdominal aortic aneurysm (AAA)?

What are the initial goals for treatment of abdominal aortic aneurysm (AAA)?

How are exacerbations in tachycardia and hypertension prevented in the initial treatment of abdominal aortic aneurysm (AAA)?

What treatment should be given for suspected abdominal aortic aneurysm (AAA) with pain but stable vital signs in the ED?

What are the possible liability factors for ED physicians treating abdominal aortic aneurysm (AAA)?

When should patients be admitted for inpatient treatment of abdominal aortic aneurysm (AAA)?

When is emergency repair indicated in abdominal aortic aneurysm (AAA)?

What are the primary methods of abdominal aortic aneurysm (AAA) surgical repair?

How do the outcomes of open and EVAR repair of abdominal aortic aneurysm (AAA) compare?

What is the mortality rate of open surgical repair of abdominal aortic aneurysm (AAA)?

How are patients prepared for open surgery repair of abdominal aortic aneurysm (AAA)?

How is open surgery performed on a patient with abdominal aortic aneurysm (AAA)?

What is the postoperative care for abdominal aortic aneurysm (AAA)?

How commonly is endovascular repair (EVAR) of abdominal aortic aneurysm (AAA) performed?

How is endovascular repair (EVAR) performed for abdominal aortic aneurysm (AAA)?

What are endoleaks from EVAR for abdominal aortic aneurysm (AAA)?

What monitoring is required for endografts following repair of abdominal aortic aneurysm (AAA)?

What specialist consultations should are needed for abdominal aortic aneurysm (AAA)?

Medications

What are the goals of drug treatment for abdominal aortic aneurysm (AAA)?

Which medications in the drug class Analgesics are used in the treatment of Abdominal Aortic Aneurysm?

Which medications in the drug class Antihypertensives are used in the treatment of Abdominal Aortic Aneurysm?