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Clinical Crossroads Update
May 11, 2011

Update: A 66-Year-Old Man With an Abdominal Aortic Aneurysm

JAMA. 2011;305(18):1899. doi:10.1001/jama.2011.616

In a Clinical Crossroads article published in November 2009,1 Marc Schermerhorn, MD, discussed Mr F, a 66-year-old man with an abdominal aortic aneurysm (AAA). In the article, Dr Schermerhorn discussed the treatment options for an AAA and the advantages and disadvantages of each. Mr F has a medical history of coronary artery disease and underwent coronary artery bypass graft surgery in 1995. His blood pressure was controlled with lisinopril, although his cholesterol level remained high despite treatment with atorvastatin. He continued to smoke despite having been counseled to quit. He was taking atorvastatin, 80 mg/d; clopidogrel, 75 mg/d; lisinopril, 10 mg/d; metoprolol, 50 mg/d; omeprazole, 20 mg/d; aspirin, 325 mg/d; and niacin-inositol, 100 mg/400 mg twice daily.