Page 35 - Virtual Vascular Vol 6
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AAA Anatomy
suprarenal AAA .mp4 AAA Pulsation.mp4
A 89-year old lady with an incidental finding of a large, 8cm AAA on CT A 69 year old man with a large, pulsatile abdominal mass. The diagnosis of
scan. Aside from the size, this AAA is classified as SUPRARENAL. The axial an abdominal aortic aneurysm should be straight forward.
CT images showed that the left renal artery actually was involved and orig-
inates from the aneurysm sac (arrow). The aorta and its branches are also This patient has bilateral common iliac artery aneurysms as well and due to
very calcified. his younger age open repair was recommended.
Treatment is a dilemma in a very old lady. Endovascular repair would be a
complex operation due to access limitations and the need to preserve the
left renal with a fenestrated graft.
As often, this patient refused all forms of intervention. She is likely to die
from rupture of the aneurysm.
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