PVD-ABDOMINAL AORTIC ANEURYSMS

SUMMARY

1. More common in men & tend to rupture rather than dissect.

MANAGEMENT
2. Treat BP and lipids & advise to stop smoking.

3. If asymptomatic, aneurysms 4-5.4 cm should be monitored with US or CT every 6-12 months.
4. Surgery: > 5.5 cm, symptomatic (abdominal/back pain, pulsatile mass, hypotension) or expand > 0.5 cm in 6 months.

5. ACS is the cause of 70% of peri-operative mortality, so screen with nuclear stress-test.

Reference(s)

Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. Get it on Amazon.
Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. Get it on Amazon.
Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].