A 72-year-old retired family practice physician called an ambulance from his home to take him to the hospital in which he had practiced medicine for 40 years. Enroute to the hospital, he ask
: A 72-year-old retired family practice physician called an ambulance from his home to take him to the hospital in which he had practiced medicine for 40 years. Enroute to the hospital, he asked the paramedics to call the interventional radiologist at the hospital to meet him in the emergency department (ED). The radiologist was waiting for the physician-patient when the ambulance arrived in the driveway. The physician-patient described his symptoms to the ED physician and radiologist and said “I’ m certain I have an abdominal aortic aneurysm.” The symptoms he experienced-abdominal pulsatile mass, abdominal pain and tenderness, rigidity, lower back pain, rapid pulse, paleness, nausea, clammy skin, sweatingwere classic symptoms of what physicians call a “triple A.” The patient was admitted and taken immediately to the interventional radiology suite. Based on a quick physical examination and intravascular ultrasound of the abdominal aorta, an aneurysm was found. The patient consented to a repair by the interventional radiologist, and within 1 hour of arrival the following procedure was started. A synthetic graft was implanted endovascularly in the abdominal aorta to reinforce the vessel and prevent a ruptured aneurysm. After the procedure, the patient was taken to the ICU for postoperative monitoring. The patient was also treated for long-standing essential hypertension, as well as for chronic gouty arthritis of the right hip that was current. The patient had an uneventful recovery and was able to leave the hospital within five days for further recovery at home
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