25th May 2025

A 67-year-old retired GP with an abdominal aortic aneurysm managed conservatively, presents to A&E with increasing abdominal and flank pain.

A 67-year-old retired GP with an abdominal aortic aneurysm managed conservatively, presents to A&E with increasing abdominal and flank pain. On examination, there is a pulsatile mass on palpation of the abdomen, and the patient is hypotensive. What is the best next step in management? 

Select the SINGLE most appropriate option from the list below. Select ONE option only.