Extensive Aortic Aneurysm in an 83-year-old Woman with History of Chronic Obstructive Pulmonary Disease: a case report

Noviana Joenputri, A. A. I. S. Kumaladewi, I. G. M. Sanjiwani, Gede Angga Swistrawan Marto
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Abstract

Thoracoabdominal aortic aneurysm (TAAA) is rarely found and commonly asymptomatic.We reported an 83-year-old woman who was admitted to emergency roomsuffering from shortness of breath and intermittent epigastric pain. The patient wasknown to have a history of chronic obstructive pulmonary disease (COPD). Chestradiograph, CT scan of the chest, and echocardiograph showed TAAA with intraluminalthrombus along the TAAA. Patient was given symptomatic treatment andmedical therapy for AA, including lipid profile optimization, blood pressure and heartcontractility control, which aimed to reduce the shear stress and rupture risk of AA.This case report aimed to explain about the COPD as a risk factor of aortic aneurysm(AA) development.Key words: aortic aneurysm–thoracoabdominal aortic aneurysm–chronic obstructivepulmonary disease
有慢性阻塞性肺疾病病史的83岁女性大面积主动脉瘤一例报告
胸腹主动脉瘤(TAAA)是一种罕见且无症状的疾病。我们报告了一位83岁的女性,因呼吸短促和间歇性上腹部疼痛而被送往急诊室。已知患者有慢性阻塞性肺疾病(COPD)病史。胸片、胸部CT及超声心动图显示TAAA伴沿TAAA的腔内血栓。对AA患者进行对症治疗和药物治疗,包括优化血脂、控制血压和心脏收缩力,以降低AA的剪应力和破裂风险。本病例报告旨在解释COPD作为主动脉瘤(AA)发展的危险因素。关键词:主动脉瘤-胸腹主动脉瘤-慢性阻塞性肺疾病
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