PMC7393460_01
Saccular abdominal aortic aneurysm (AAA) identified on computed tomography (2015).
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A tri-phasic CT Abdomen was subsequently performed which, in comparison to images from 2015 (Fig. 1), highlighted interval progression of an infra-renal saccular abdominal aortic aneurysm.
Caval thrombosis secondary to abdominal aortic aneurysm compression identified on computed tomography.
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It was found to be 5.5 cm in anterior-posterior (AP) diameter with a maximum transverse diameter of 7.5 cm (Fig. 2).
Digital Subtraction Angiography of infra-renal abdominal aortic aneurysm (AAA).
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The overall impression was that progressive enlargement of the aneurysmal sac had resulted in near complete occlusion of the adjacent IVC due to local mass effect/compression (Fig. 3).
Completion Digital Subtraction Angiography post endovascular aneurysm repair (EVAR).
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He was subsequently brought to the hybrid interventional surgical suite and underwent endovascular repair of abdominal aortic aneurysm (EVAR, Fig. 4) by the on-call vascular consultant.