James talks to Dr Shannon Thomas about the approach to the Abdomnial Aortic Aneurysm.
Summary Writer: Rose McCarthy
Script Writer: Nedal Katib
Editor: Shannon Thomas
Interviewee: Shannon Thomas
Dr Shannon Thomas is an Australian trained Vascular, Endovascular and Renal Transplant Surgeon who holds appointments at the Prince of Wales Hospital in Sydney, and a conjoint lecturer position at the University of New South Wales. Having completed post-fellowship training at the Park Krankenhaus Hospital in Leipzig, Germany and Polyclinico Abano Terme in Veneto, Italy, Shannon has developed a subspecialty interest in Diabetic Vasculopathy. In particular, small vessel angioplasty techniques to salvage critically ischaemic limbs. His other interests include interventional nephrology (Renal Access), Aortic Aneurysmal and occlusive disease, as well as Spinal Access surgery. These interests are accompanied by active vascular research and teaching commitments.
With Dr Shannon Thomas, Vascular Surgeon, Prince of Wales Hospital, Sydney, Australia
A ruptured abdominal aortic aneurysm (AAA) is a vascular emergency. Always consider AAA in any patient complaining of abdominal/back pain and presenting with hypotension. Classically the hypotension will be refractory, as the ruptured aneurysm can tamponade itself so the blood pressure (BP) may stabilise before re-bleeding again. Maintaining permissive hypotension in these patients is crucial as is involving the vascular surgeons early.
You are a junior doctor in the Emergency Department. You are to see an elderly patient with acute abdominal pain and low blood pressure.
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