A Case Study of Abdominal Aortic Aneurysm Detection and Critical Vascular Surgery.

Autor: Kamboj M; Internal Medicine, Dayanand Medical College and Hospital, Ludhiana, IND., Das A; Internal Medicine, Nil Ratan Sircar Medical College and Hospital, Kolkata, IND., Idris H; Internal Medicine, Shifa International Hospital Islamabad, Islamabad, PAK., Singh A; Internal Medicine, Shri Ram Murti Smarak Institute of Medical Sciences, Bareilly, IND., Chaudhary SM; Internal Medicine, Gujarat Cancer Society (GCS) Medical College, Hospital and Research Centre, Ahmedabad, IND., Mallipeddi MC; Internal Medicine, Sri Venkateswara Institute of Medical Sciences (SVIMS), Tirupati, IND.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2024 Apr 24; Vol. 16 (4), pp. e58894. Date of Electronic Publication: 2024 Apr 24 (Print Publication: 2024).
DOI: 10.7759/cureus.58894
Abstrakt: Abdominal aortic aneurysm, characterized by a persistent dilation exceeding 3 cm or 50% of the aortic diameter, poses a substantial risk, particularly in males over 65. Despite its potentially asymptomatic nature, early detection is imperative due to the elevated mortality rates, reaching 90% following rupture. The presented case involves a 60-year-old male with progressively worsening abdominal pain, a history of cardiovascular disease, hypertension, and smoking. Initial examinations were inconclusive, requiring advanced imaging that revealed a large aneurysmal dilation. Therapeutic measures included endovascular aneurysm repair (EVAR), highlighting the significance of timely intervention. Despite elective surgery risks, mortality rates decrease significantly when the aneurysm diameter surpasses 43 mm. This report stresses the need for primary care physicians to conduct thorough screenings, recognize risk factors, and facilitate prompt referrals for advanced imaging. The case's pivotal lesson lies in the comprehensive management of abdominal aortic aneurysm, showcasing the potential for life-saving interventions and the critical role of early detection in mitigating the severe consequences associated with its rupture.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2024, Kamboj et al.)
Databáze: MEDLINE