Clinical features and evolution in giant aneurysm of thoraco-abdominal descending aorta
March 31, 2010
| Abstract Title: | Clinical features and evolution in giant aneurysm of thoraco-abdominal descending aorta |
| Authors: | Ecaterina Enea 1, Mariana Poenaru 1, Simona Borta* 2, Mihaela Glisici 1 |
| Affiliation: | 1 “Vasile Goldis” Western University, Arad, Romania 2 Clinical County Emergency Hospital Arad |
| Abstract text: | Aneurysmal degeneration can occur anywhere in the human aorta. By definition, an aneurysm is a localized or diffuse dilation of an artery with a diameter at least 50% greater than the normal size of the artery. Although most abdominal aortic aneurysms are asymptomatic at the time of diagnosis, the most common complication remains life-threatening rupture with hemorrhage. The true etiology of aortic aneurysms is probably multifactorial, and the condition occurs in individuals with multiple risk factors. Risk factors include smoking, chronic obstructive pulmonary disease (COPD), hypertension, atherosclerosis, male gender, older age, high BMI, bicuspid or unicuspid aortic valves, genetic disorders, and family history. Aortic aneurysms are more common in men than in women and are more common in persons with COPD than in those without lung disease. We present case of a patient, aged 43 years, which shows in the year 2007, outpatient specialty, accusing: left lower-back morbidity and left periombilical pain. Based on ultrasound and laboratory tests we recommend a CT abdomen and chest, which reveals a giant aneurysm of the thoracic and abdominal aorta to the level of renal hil, transverse diameter of the descending thoracic aorta to approximately 8 cm, with peripheral thrombosis to this level. During 2008, the patient is subject of surgical treatment of the aneurysm by resection and restoration of arterial flow through Dacron prosthesis. Postoperative evolution is favorable, but during 2010, a routine ultrasound exam, highlight that the right kidney is unfunctional. |
| Keywords: | thoraco-abdominal aneurysm, unfunctional kidney |
| Presentation type: | Poster |
| Correspondence: | no. 19 Calea Timisorii St., Lipova, Arad, Romania |
| Email: | simoborta@yahoo.com |
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