The prevalence of AAA was high in men aged ≥ 65 years and in those with three-vessel CAD regardless of age. While our findings do not prove the cost-effectiveness of screening for AAA in these high risk patients, they do support the usefulness of a quick ultrasound examination of the abdominal aorta during routine transthoracic echocardiography in such patients.

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Penetrating injuries of the subclavian artery are associated with a high morbidity and mortality rate. Endovascular treatment with covered stents (stent grafts) has emerged as an eff ective alternative to surgery, but this new technique is not exempt from complications. We report the case of a male gunshot victim, treated by a covered stent for haemorrhagic shock due to partial subclavian rupture.

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The kingdom of Belgium with its capital Brussels is located in Western Europe (Fig. 1) and has a population of 11,492,641 inhabitants (January 2020) for a surface of 30,689 km 2 . The country is a member of the European Union (EU) and federally organized with a Dutchspeaking majority in the northern Flemish region, a French-speaking region (Wallonia) in the south, and the Brussels capital region. Its population is mainly of White, with 10% immigrants from different non-EU countries, mostly Africa and Middle East.The organization of its "Bismarck type" health care is based on principles of therapeutic freedom for physicians, freedom of choice for patients, and fee for service payment. 1 All disease-oriented care is of federal competence, whereas prevention, screening, teaching, and health care organization are of regional competence. Health care is financed through a compulsory social insurance covering almost the whole population and administrated by a National Institute for Health and Disability, representing the following different stakeholders: sickness funds, (para)medical health care workers, pharmaceutical industry, and the federal ministry of Social Affairs, the latter covering theyearly increasing-deficits in annual budget. In 2019, the share of health care spending represented 14.6% of all taxes and contributions and 10.3% of the gross domestic product. 2 It is estimated that an additional 1% is spent on out-of-pocket contributions and ispartially-reimbursed by private insurances, proposed by various sickness funds and private companies.The density of health care resources is high: Belgium has 34,962 "acute care" beds in 128 hospitals, seven of which linked to a university medical faculty. 3 All hospitals were recently grouped in 25 locoregional networks, each covering approximately 500,000 citizens. A National Electronic Health Database (e-Health) for physicians makes institutional medical data available on a single platform and largely facilitates cross-referrals and second opinions. This platform is linked to Social Security's data warehouse, which allows for checking the patient's vital status. The publication of two royal decrees introduced multidisciplinary tumor boards (MDTBs) and oncological care programs in 2002 and 2003, respectively. Because the endorsement of the National Cancer Plan (NCP) of 2008,