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Medicine Acute coronary syndrome 5331dd45

A 67-year-old man with a history of hypeension, hyperlipidemia and tobacco use has been diagnosed with infra-renal aoic aneurysm of size 3 X 3.5 cm. Which is best suited for this patient?

A
Endovascular stenting of an aneurysm
B
Serial follow up with MRI, major determinant of surgery being renal aery involvement
C
Serial follow up with MRI, initiate statins and major determinant of surgery being size greater than 5.5cm
D
Serial follow up with MRI, initiate Statins and operate only in case of acute anginal pain
High-Yield Explanation
Indications for surgery of AAA Size of AAA exceeds >= 5.5cm Rapid expansion Onset of symptoms. Endovascular stent grafts for infra-renal AAA are achieving success in selected patients. Choice D is a close option but waiting for symptoms to appear would not a be logical step.

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