Gigantic post-EVAR Aneurysm due to Lack of Mandatory Surveillance

An 84-year old presented to the emergency room with 4 days of left lower back discomfort that is noted as dull and aching, intermittent, and rated as 6/10 in severity. He has had an endovascular aortic aneurysm repair 16 years previous but was told no further surveillance was necessary, and as such, has not had any imaging in over 12 years. He had multiple medical comorbidities including advanced COPD on 3L nasal cannula and congestive heart failure, and sleeps sitting up in a chair. He had a 58-pack year history of tobacco use and is retired from the automobile industry.
Source: Journal of Vascular Surgery - Category: Surgery Authors: Source Type: research