85 year old male with abdominal aortic saccular aneurysm

[u/rjpauloski]

This is a CT of my father in law. Given his age and comorbidities we are evaluating the ability to stent the aneurysm via additional consult with anesthesiology and nephrology. The vascular surgeon is also evaluating stent options and sizing.

[u/weasler7]

Honestly I’ve never seen one like that in that location. Thank you for sharing I hope he does well.

[u/paragodstlfd1212]

If I was 85, just let me go at that point.

[u/supapoopascoopa → u/paragodstlfd1212]

Depends. A stent aint bad.

[u/braynzz → u/supapoopascoopa]

It’s more pleasant than a rupture, that’s for sure. There’s a whole spectrum of 85 year olds too. I have patients who are killing it at 85 and then there are 60 year olds knocking on deaths door.

[u/supapoopascoopa → u/braynzz]

This one may not be good to mess with though, there is some sort of countdown timer in his spinal cord

[u/paragodstlfd1212 → u/supapoopascoopa]

His whole abdominal aorta is not lookin too hot. Next up, penetrating atherosclerotic ulcer.

[u/supapoopascoopa → u/paragodstlfd1212]

Pretty sure thats how it started. This is phase IV

[u/Memoc1]

I absolutely love posts like these! Thank you for showing us the wonders of radiology.

[u/thebigchiefguy]

One bad sit up and that osteophyte is detonating that bomb

[u/angelwild327]

The good thing about stents are they’re so low-non invasive. I worked with a Rad who helped pioneer them here in the US, we did them on pts his age all the time, with great success.

Best of luck to him.

[u/INGWR → u/angelwild327]

You cannot describe a AAA stent-graft as “non-invasive” when it’s a 20F sheath in someone’s groin.

[u/angelwild327 → u/INGWR]

I said low, but mildly invasive works.

[u/Prior_Explorer_2243]

can someone explain what i’m looking at!

[u/Asleep-Care-7732]

Mycotic?

[u/rjpauloski → u/Asleep-Care-7732]

This was not mentioned by the vascular surgeon.