Guidelines were developed for aortic evaluation based on a patient’s health status, comorbidities, and the aneurysm’s maximum diameter. The arrival of the endovascular aneurysm repair (EVAR) technique and its more advanced permutations introduced new variables to managing abdominal aortic aneurysm (AAA) and aortic dissection. For patients who present de novo for treatment of AAA or aortic dissection without any prior imaging available, the entire aorta (including the thoracic portion) should be …