If you are visually impaired or blind, you can visit the PDF version by Pressing CONTROL + ALT + 4
<br /> Philips emergency medicine<br /> ultrasound tutorial<br /> Abdominal Aortic Aneurysm (AAA)<br /> Robert Blankenship, MD, FACEP<br /> Director, Emergency Ultrasound<br /> St. Vincent Emergency Physicians, Inc.<br /> EMsono, LLC<br /> Bob Jones, DO, FACEP<br /> Director, Emergency Ultrasound<br /> Ultrasound Fellowship Director<br /> Metrohealth Medical Center<br /> EMsono, LLC<br /> Table of contents<br /> Abdominal aortic aneurysm (AAA)<br /> 1 Introduction ........................................................ 3<br /> 2 Clinical case ......................................................... 4<br /> 3 Gross anatomy.................................................... 5<br /> 4 Ultrasound anatomy..........................................7<br /> 5 Technique ............................................................. 9<br /> 6 Anatomy .............................................................28<br /> 7 Clinical pearls .....................................<a title="Abdominal Aortic Aneurysm page 1" href="http://viewer.zmags.com/publication/e546b72f?page=1"> Philips emergency medicine ultrasound tutorial A</a> <a title="Abdominal Aortic Aneurysm page 2" href="http://viewer.zmags.com/publication/e546b72f?page=2"> Table of contents Abdominal aortic aneurysm (AAA</a> <a title="Abdominal Aortic Aneurysm page 3" href="http://viewer.zmags.com/publication/e546b72f?page=3"> 1 Introduction Leaking or ruptured abdominal aor</a> <a title="Abdominal Aortic Aneurysm page 4" href="http://viewer.zmags.com/publication/e546b72f?page=4"> 2 Clinical case A 78-year-old male presents to t</a> <a title="Abdominal Aortic Aneurysm page 5" href="http://viewer.zmags.com/publication/e546b72f?page=5"> 3 Gross anatomy Anatomy of the abdominal aorta T</a> <a title="Abdominal Aortic Aneurysm page 6" href="http://viewer.zmags.com/publication/e546b72f?page=6"> 3 Gross anatomy Figure 1 CT o</a> <a title="Abdominal Aortic Aneurysm page 7" href="http://viewer.zmags.com/publication/e546b72f?page=7"> 4 Ultrasound anatomy The sonographic examination</a> <a title="Abdominal Aortic Aneurysm page 8" href="http://viewer.zmags.com/publication/e546b72f?page=8"> 4 Ultrasound anatomy Figure 2 </a> <a title="Abdominal Aortic Aneurysm page 9" href="http://viewer.zmags.com/publication/e546b72f?page=9"> 5 Technique Sonographic technique and findings P</a> <a title="Abdominal Aortic Aneurysm page 10" href="http://viewer.zmags.com/publication/e546b72f?page=10"> 5 Technique Figure 4 Sagittal image</a> <a title="Abdominal Aortic Aneurysm page 11" href="http://viewer.zmags.com/publication/e546b72f?page=11"> Visualizing the SMA and celiac branches can be us</a> <a title="Abdominal Aortic Aneurysm page 12" href="http://viewer.zmags.com/publication/e546b72f?page=12"> 5 Technique Video 1a Sagi</a> <a title="Abdominal Aortic Aneurysm page 13" href="http://viewer.zmags.com/publication/e546b72f?page=13"> Video 1b Sagittal scan of the IVC. Note the count</a> <a title="Abdominal Aortic Aneurysm page 14" href="http://viewer.zmags.com/publication/e546b72f?page=14"> 5 Technique Mid aorta (sagittal view): Using a r</a> <a title="Abdominal Aortic Aneurysm page 15" href="http://viewer.zmags.com/publication/e546b72f?page=15"> Figure 5b Sagittal image of the mid aorta. </a> <a title="Abdominal Aortic Aneurysm page 16" href="http://viewer.zmags.com/publication/e546b72f?page=16"> 5 Technique Figure 5c Sagittal i</a> <a title="Abdominal Aortic Aneurysm page 17" href="http://viewer.zmags.com/publication/e546b72f?page=17"> Distal aorta (sagittal view): Follow the aorta us</a> <a title="Abdominal Aortic Aneurysm page 18" href="http://viewer.zmags.com/publication/e546b72f?page=18"> 5 Technique At the level of the bifurcation, the</a> <a title="Abdominal Aortic Aneurysm page 19" href="http://viewer.zmags.com/publication/e546b72f?page=19"> Figure 7b Coronal image of the aor tic bifurcatio</a> <a title="Abdominal Aortic Aneurysm page 20" href="http://viewer.zmags.com/publication/e546b72f?page=20"> 5 Technique Figure 7c Another e</a> <a title="Abdominal Aortic Aneurysm page 21" href="http://viewer.zmags.com/publication/e546b72f?page=21"> Proximal aorta (transverse view):  The transducer</a> <a title="Abdominal Aortic Aneurysm page 22" href="http://viewer.zmags.com/publication/e546b72f?page=22"> 5 Technique Video 2 Scan </a> <a title="Abdominal Aortic Aneurysm page 23" href="http://viewer.zmags.com/publication/e546b72f?page=23"> Proximal aorta at the level of the celiac axis (t</a> <a title="Abdominal Aortic Aneurysm page 24" href="http://viewer.zmags.com/publication/e546b72f?page=24"> 5 Technique Figure 9b Transverse</a> <a title="Abdominal Aortic Aneurysm page 25" href="http://viewer.zmags.com/publication/e546b72f?page=25"> Proximal aorta at the level of the SMA (transvers</a> <a title="Abdominal Aortic Aneurysm page 26" href="http://viewer.zmags.com/publication/e546b72f?page=26"> 5 Technique Figure 10b Transvers</a> <a title="Abdominal Aortic Aneurysm page 27" href="http://viewer.zmags.com/publication/e546b72f?page=27"> Proximal aorta at the level of the renal arteries</a> <a title="Abdominal Aortic Aneurysm page 28" href="http://viewer.zmags.com/publication/e546b72f?page=28"> 5 Technique Figure 11b Transvers</a> <a title="Abdominal Aortic Aneurysm page 29" href="http://viewer.zmags.com/publication/e546b72f?page=29"> 6 Anatomy Normal aorta The normal aorta is no la</a> <a title="Abdominal Aortic Aneurysm page 30" href="http://viewer.zmags.com/publication/e546b72f?page=30"> 6 Anatomy Video 3 Sagitta</a> <a title="Abdominal Aortic Aneurysm page 31" href="http://viewer.zmags.com/publication/e546b72f?page=31"> Video 4 Transverse scan of the aorta (proximal to</a> <a title="Abdominal Aortic Aneurysm page 32" href="http://viewer.zmags.com/publication/e546b72f?page=32"> 6 Anatomy The normal maximum diameter of the com</a> <a title="Abdominal Aortic Aneurysm page 33" href="http://viewer.zmags.com/publication/e546b72f?page=33"> Measuring in the transverse orientation is less s</a> <a title="Abdominal Aortic Aneurysm page 34" href="http://viewer.zmags.com/publication/e546b72f?page=34"> 6 Anatomy AAA • Sonographic criteria for the dia</a> <a title="Abdominal Aortic Aneurysm page 35" href="http://viewer.zmags.com/publication/e546b72f?page=35"> Figure 16 Zoomed sagittal view of AAA with mural </a> <a title="Abdominal Aortic Aneurysm page 36" href="http://viewer.zmags.com/publication/e546b72f?page=36"> 6 Anatomy Figure 17a Transverse </a> <a title="Abdominal Aortic Aneurysm page 37" href="http://viewer.zmags.com/publication/e546b72f?page=37"> Figure 17b Transverse view of AAA. </a> <a title="Abdominal Aortic Aneurysm page 38" href="http://viewer.zmags.com/publication/e546b72f?page=38"> 6 Anatomy Figure 17c Zoomed sag</a> <a title="Abdominal Aortic Aneurysm page 39" href="http://viewer.zmags.com/publication/e546b72f?page=39"> Figure 17d Transverse view of AAA with mural thro</a> <a title="Abdominal Aortic Aneurysm page 40" href="http://viewer.zmags.com/publication/e546b72f?page=40"> 6 Anatomy Figure 18 Transvers</a> <a title="Abdominal Aortic Aneurysm page 41" href="http://viewer.zmags.com/publication/e546b72f?page=41"> Video 5 Transverse scan of AAA with mural thrombu</a> <a title="Abdominal Aortic Aneurysm page 42" href="http://viewer.zmags.com/publication/e546b72f?page=42"> 6 Anatomy Signs of leaking or rupture Ultrasound</a> <a title="Abdominal Aortic Aneurysm page 43" href="http://viewer.zmags.com/publication/e546b72f?page=43"> Catalano and colleagues have suggested in a retro</a> <a title="Abdominal Aortic Aneurysm page 44" href="http://viewer.zmags.com/publication/e546b72f?page=44"> 6 Anatomy Aortic dissection Patients with aor</a> <a title="Abdominal Aortic Aneurysm page 45" href="http://viewer.zmags.com/publication/e546b72f?page=45"> Video 6 Transverse (TRV) scan of aor tic dissecti</a> <a title="Abdominal Aortic Aneurysm page 46" href="http://viewer.zmags.com/publication/e546b72f?page=46"> 6 Anatomy Video 7 Sagitta</a> <a title="Abdominal Aortic Aneurysm page 47" href="http://viewer.zmags.com/publication/e546b72f?page=47"> 7 Clinical pearls 1. Bedside ultrasound is essen</a> <a title="Abdominal Aortic Aneurysm page 48" href="http://viewer.zmags.com/publication/e546b72f?page=48"> 7 Clinical pearls 5. Remember the coronal approa</a> <a title="Abdominal Aortic Aneurysm page 49" href="http://viewer.zmags.com/publication/e546b72f?page=49"> 8 Case resolution The patient was found to have </a> <a title="Abdominal Aortic Aneurysm page 50" href="http://viewer.zmags.com/publication/e546b72f?page=50"> 9 Bibliography 1. Kuhn M, et al., Emergency dep</a> <a title="Abdominal Aortic Aneurysm page 51" href="http://viewer.zmags.com/publication/e546b72f?page=51"> Additional resources Additional resources relate</a> <a title="Abdominal Aortic Aneurysm page 52" href="http://viewer.zmags.com/publication/e546b72f?page=52"> Philips Healthcare is part of Royal Philips Elect</a>