J.C.M., 81 years old, male, complains of persistent, stabbing pain in the right lower quadrant of the abdomen without signs of peritonitis. He is a smoker, smoking history of 140 pack-years, with hypertension, CKD IIIb and COPD. Previous acute myocardial infaction ten years ago, treated with primary percutaneous angioplasty. On examination: visible and palpable mass in the upper abdomen, pulsatile and painless to palpation (Image 1). An ultrasonography (USG) showed a large abdominal aortic aneurysm. A MRI angiography (Image 2) was requested for surgical planning.

 

Question:
Taking into consideration the patient's clinical characteristics and the imaging studies attached, what is the best approach in this case?