Welcome to ICM Hell

8 left at a Venetian Seniors. I don't recall the actual payout structure, but assume a standardish one.

Hero is second in chips with 45BB. Main Villain is third with 34BB. There is a 50BB stack, and the rest of the table has 20-25BBs.

The previous hand the Villain flatted in the BB with AJ after a LoJack raise, and cutoff call. She doubled through on an AJT board, all in on flop, and getting the hold vs AQ.

On to the hand...it's a simple one. Folds to hero who min opens with AKo. Villain shoves for 34BB from the small; the BB was one of the aforementioned ~20BB stacks.

Hero?