Aneurysm of the Abdominal Aorta

Michael J. Gray, MD, MA, MS, ATC Reviewed 06/2017
 


BASICS

DESCRIPTION

  • An infrarenal aorta ≥3 cm in diameter is considered aneurysmal 1,2,3,4,5.

  • Types

    • ▪ Fusiform aneurysm: involves the whole circumference or wall of the artery
    • ▪ Saccular aneurysm: does not...

DIAGNOSIS

  • Screening: recommended one-time US for AAA in men 65 to 75 years who have EVER smoked 3[B], selective offer one-time US in men 65 to 75 years who have NEVER smoked 3[C]

  • U.S. Preventive Servic...

TREATMENT

GENERAL MEASURES

  • Treat atherosclerotic risk factors 2,5[C].

  • Medical optimization of cardiac, renal, and pulmonary conditions

  • Smoking cessation (increased rate of expansion of 20-25% with contin...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

CT or MRI evaluation of the graft for EVAR surveillance at 1 month, 6 months, then annually 2[B

Patient Monitoring

BP and fasting lipid values: Control as for ath...

REFERENCES

Aggarwal  S, Qamar  A, Sharma  V, et al. Abdominal aortic aneurysm: a comprehensive review. Exp Clin Cardiol.  2011;16(1):11–15. [View Abstract on OvidInsights]
Hirsch  AT, Haskal  ZJ...

ADDITIONAL READING

  • Rooke TW, Hirsch AT, Misra S, et al. 2011 ACCF/AHA focused update of the guideline for the management of patients with peripheral artery disease (updating the 2005 guideline): a rep...

SEE ALSO

Aortic Dissection; Ehlers-Danlos; Giant Cell Arteritis; Marfan Syndrome; Polyarteritis Nodosa; Turner Syndrome 

CODES

ICD10

  • I71.4 Abdominal aortic aneurysm, without rupture

  • I71.3 Abdominal aortic aneurysm, ruptured

ICD9

  • 441.4Abdominal aneurysm without mention of rupture

  • 441.3Abdominal aneurysm, ruptured

SNOMED

  • 2339850...

CLINICAL PEARLS

  • US is the procedure of choice for screening for AAA in any male >65 years with any history of tobacco use.

  • Suspect AAA for any elderly patient with back, abdominal, or groin pain. Tr...

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