Long-standing Hypertension in Surgery — 72yo Man | Vascular Surgery | SMLE Q#12314
SMLE Question #12314
Surgery
Vascular Surgery
Last updated: February 2026
A 72-year-old man with long-standing hypertension and a 50-pack-year smoking history is seen in primary care after a routine examination. He has no abdominal or back pain, syncope, or constitutional symptoms. Examination reveals a non-tender, pulsatile mid-abdominal mass. Abdominal ultrasound shows an infrarenal abdominal aortic aneurysm measuring 4.5 cm in maximum diameter, with no signs of rupture. What is the most appropriate next step in management?
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