Doctor! Why Can’t I Walk?

IV access is obtained and blood samples sent for biochemistry and haematology. A CXR shows profuse pulmonary oedema and an ECG shows left bundle branch block.

Which one of the following options is the most appropriate next step in his ED management?

A bedside ultrasound scan of the abdominal aorta is performed. The mid-aortic region is shown in transverse below.

Which one of the following statements best describes the ultrasound scan findings?

The patient proceeds to have a CT aortogram, which is shown below.

Which of the following management strategies is most appropriate?