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History & Physical

History & Physical

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History & Physical

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  1. History & Physical • 85 yo male with FH of mother with AAA repaired at age 90 who lived to 105 had CT for vague abd pain showing 6.4cm splenic artery aneurysm and 6.8cm thoracic aortic aneurysm • PMH: HTN, CRI (creat 1.5) • Meds: norvasc, hctz • Exam: palpable distal pulses, nontender abd without bruits • Nov ’05: underwent coil embolization splenic artery aneurysm • f/u scan showed decrease in size to 5cm

  2. L subclavian Neck=60mm

  3. Compliant balloon Main body piece 40x40x114mm

  4. 17cm to celiac

  5. 2 additional distal extenders 44x40x111mm

  6. Junction of 1st 2 pieces

  7. 42x42x54 bridge piece

  8. Post-operative course • 2 hours operative time • EBL: 200mL • Extubated and neurologically intact, stable creatinine post procedure • Home on POD#2