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AAA

AAA. Tim Brandys MD MEd FRCSC. CASE PRESENTATION. 69 yo male presents to the office for an annual check up .He is having no symptoms .His past medical history is significant for a myocardial infarction 9 years ago ,mild hypertension and 40 pack year smoking history.

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AAA

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  1. AAA Tim Brandys MD MEd FRCSC

  2. CASE PRESENTATION 69 yo male presents to the office for an annual check up .He is having no symptoms .His past medical history is significant for a myocardial infarction 9 years ago ,mild hypertension and 40 pack year smoking history. On screening physical exam he is noted to have a pulasitile mass in the midline of the upper abdomen and no other obvious abnormalities.

  3. What other facts on history are significant ?

  4. HISTORY • History of present illness • Family history • Risk factor assessment

  5. Specific findings on physical exam ?

  6. Define AAA ?

  7. What are the risk factors for development of an AAA? • Hint :There are 10 or more

  8. Who should be screened for AAA?

  9. What investigations does this patient require?

  10. Investigations

  11. Physical Exam

  12. Plain x-ray

  13. Ultrasound

  14. Angiogram

  15. CT SCAN

  16. In what ways do aneurysms present ?

  17. Ruptured AAA

  18. What are the possible complications of an untreated AAA ?

  19. Complications AAA RAAA Ann Rate Rupture <4cm ..0 <5 .. <5% 5-5.9..10% 6-7 …15% 7-8 …30% >8 …40% Emboli Aortoenteric Fistula

  20. What is the management of a patient with a symptomatic or asymptomatic aneurysm ? Risk Surgery Risk Surgery Risk Rupture Risk Rupture

  21. What Surgical Procedures are available for AAA?

  22. OPEN REPAIR

  23. Stent Graft Repair

  24. What are the possible complications of Surgery ?

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