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Elderly man with back pain presents to ED and his exam shows ….
There is a 7cm AAA. There is mural thrombus so the lumen is 3cm.
Elderly man with back pain presents to ED and his exam shows…
The lumen size has very little relation to whether any symptoms are due to the AAA, and the short term risk of rupture. Lumen size may have a small effect in the long term rate of growth (and therefore rupture). However, in the emergency setting this is irrelevant so the lumen size can be ignored.