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Evidence checklist

Aortic Aneurysm

DC 711038 CFR § 4.104Cardiovascular

Evidence strength

Mark what you already have below and your evidence strength appears here.

Target
Saved locally
01

Specialist opinion

Highest value0 of 3 collected
CT angiography or MRA documenting aneurysm size and locationCritical

CT-A or MRA imaging is the definitive study — it documents aneurysm location (abdominal vs. thoracic), maximum diameter, and involvement of branch vessels. Size is critical: AAA over 5 cm or TAA over 5.5 cm may be rated at 100%.

Private provider · independent opinion
Vascular surgeon evaluationCritical

A vascular surgeon evaluation documenting the aneurysm characteristics, surgical risk, and recommended management plan.

Private provider · independent opinion
Nexus opinion linking aneurysm to service ("at least as likely as not")Critical

A medical opinion connecting the aneurysm to service-related hypertension, atherosclerosis (Agent Orange), or other in-service vascular disease.

Private provider · independent opinion
02

Treatment records

0 of 2 collected
Serial surveillance imaging showing growth rate

Sequential CT or ultrasound studies documenting the rate of aneurysm growth over time, which affects surgical timing and supports higher ratings.

VA or private records · written request
Surgical repair records (open or EVAR, if performed)

Operative records for open surgical repair or endovascular aneurysm repair (EVAR), including post-operative imaging confirming repair status.

VA or private records · written request
03

Lay statements

0 of 2 collected
Documentation of pain or pressure symptoms

Medical records or personal statement documenting back pain, abdominal pain, or pressure symptoms related to the aneurysm.

You or a witness · VA Form 21-4138 or 21-10210How to get this →
Buddy statement from spouse, family, or fellow service member

A written statement from someone who can describe observable symptoms and how your condition affects daily life.

You or a witness · VA Form 21-4138 or 21-10210How to get this →
04

Benefits questionnaire

0 of 1 collected
Completed DBQ Artery and Vein ConditionsCritical

Standardized form capturing aneurysm size, location, imaging findings, and functional limitations.

Provider-completed · VA DBQ formHow to get this →
05

Service records

0 of 1 collected
Service treatment records (STRs)Critical

Military medical records showing in-service treatment, complaints, or injuries related to this condition.

NPRC / milConnect · SF-180
Condition guideRating criteria and what VA looks forBuddy statement builderGuided VA Form 21-10210

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