Skip to main content

Aneurysm of the Abdominal Aorta

Katyayini Aribindi, MD, Adrian DaSilva-DeAbreu, MD and Raymundo A. Quintana, MD Reviewed 06/2019
 


BASICS

DESCRIPTION

  • There are two types of aneurysms: true and false. A true aneurysm involves all three vessel wall layers. False aneurysms or pseudoaneurysms occur when the intimal and medial layers a...

DIAGNOSIS

  • Asymptomatic AAA (majority)

    • USPSTF recommends a one-time screen for an AAA by abdominal ultrasonography for men aged 65 to 75 years with a smoking history (2)[A].

    • Selective screening for AAAs ...

TREATMENT

GENERAL MEASURES

  • Treat atherosclerotic risk factors: HTN, dyslipidemia, diabetes mellitus, and smoking (2)[A].

  • Smoking was associated with a 0.35 mm/year AAA growth, twice as fast as AAA growt...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • May do a CT scan 5 years after an open repair for possible late aortic dilatation or pseudoaneurysm (2)[C]

  • Follow-up imaging should be tailored t...

REFERENCES

1
Chaikof EL, Dalman RL, Eskandari MK, et al. The Society for Vascular Surgery practice guidelines on the care of patients with an abdominal aortic aneurysm. J Vasc Surg.  2018;67(1):2....

ADDITIONAL READING

  • 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 OvidMedline]

  • Kuivaniemi H, Ryer E...

CODES

ICD10

  • I71.4 Abdominal aortic aneurysm, without rupture

  • I71.3 Abdominal aortic aneurysm, ruptured

ICD9

  • 441.4 Abdominal aneurysm without mention of rupture

  • 441.3 Abdominal aneurysm, ruptured

SNOMED

  • 23398...

CLINICAL PEARLS

  • Males with a smoking history aged 65 to 75 years should undergo a one-time screening abdominal ultrasound to evaluate for an AAA.

  • Larger AAAs should be screened more often, with electiv...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

 
×