Ruptured AAA with Concurrent Chest Pain for Endovascular Repair
Reading Time
2:00
Clinical Stem
2025.2
You are called to the emergency department to assess a 60-year-old woman who requires urgent transfer to the interventional suite for an endovascular repair of a ruptured abdominal aortic aneurysm (AAA).
That morning, she developed acute abdominal and chest pain, vomited and then lost consciousness. She had regained consciousness by the time emergency services arrived.
During transfer to hospital, she was still complaining of chest and abdominal pain, and on arrival she received an urgent chest and abdominal CT scan. Her CT scan showed a contained rupture of an infra-renal AAA amenable to endovascular repair.
Her current observations are:
HR 110 bpm
BP 85/45 mmHg
SaO2 92% on room air
Weight 85 kg
Height 165 cm
BMI 31.2 kg/m2
Sections covered in this viva
Section 1 – Assessment and stabilisation of a patient with a contained ruptured abdominal aortic aneurysm and concurrent chest pain prior to endovascular repairSection 2 – Plan for sedation during the endovascular repair of the aortic aneurysm. Diagnosis and management of the deteriorating patient during the procedureSection 3 – Postoperative assessment and management of visual loss following endovascular aneurysm repair