Question

What will be the appropriate management for Abdominal aortic aneurysm

• A. Monitor till size reaches 55 mm
• B. Immediate surgery
• C. USG monitoring till >70mm asymptomatic
• D. No treatment

Answer 1

The Correct Option is A

The management of Abdominal Aortic Aneurysm (AAA) depends primarily on the size of the aneurysm and the presence of symptoms. AAA is a condition in which the lower part of the aorta, the major blood vessel supplying blood to the body, becomes enlarged.

The standard approach to managing AAA is to monitor patients with smaller aneurysms and intervene surgically once a certain size threshold is reached. This strategy helps balance the risks of aneurysm rupture against the risks associated with surgery.

The recommended management approach is as follows:

• If the aneurysm measures less than 55 mm in diameter and is asymptomatic, periodic ultrasound monitoring is appropriate. This is because the risk of rupture is relatively low at this size.
• If the aneurysm reaches or surpasses 55 mm in diameter, surgical intervention is typically recommended because the risk of rupture increases significantly once this threshold is exceeded.
• Immediate surgery is generally reserved for symptomatic aneurysms or those that are rapidly increasing in size, regardless of current diameter.

Given these guidelines, the most appropriate management for an AAA that has not yet reached 55 mm is to monitor it until it reaches that size. Therefore, the correct answer is: Monitor till size reaches 55 mm.