Abdominal Aortic Aneurysms no not Develop More Aggressively Among Patients with a Positive Family History of the Disease

Abstract

exclusion. Correct patient selection is both crucial and challenging, and the best diagnostic strategy is still debatable. Ultrasound (US) is a good and non-invasive method for visualization of mesenteric vessels. In contrast to computer tomographic angiography (CTA), US provides real-time imaging and hereby the possibility to demonstrate respiratory synchronous velocity changes in the trunk, considered to be diagnostic for the disease with a high positive predictive value. In comparison to CTA and angiography, which supply better anatomical details, US is noninvasive and does not require contrast, but does rely on experienced sonographers. A CTA-verified "hook shape" of the coeliac trunk, together with relevant symptoms, should lead to referral to a vascular centre with interest and experience in this rare but probably underdiagnosed condition. A MALS-team consisting of specialists in gastroenterological laparoscopy, endovascular interventionists, clinical physiologists and vascular surgeons has been established at Rigshospitalet and Hvidovre Hospital in order to optimise the management of MALS.