Saade C, Pandya B, Raza M, Meghani M, Asti D, Ghavami F. 9.1 cm abdominal aortic aneurysm in a 69-year-old male patient. World J Cardiol 2015; 7(3): 157-160 [PMID: 25810816 DOI: 10.4330/wjc.v7.i3.157]
Corresponding Author of This Article
Bhavi Pandya, MD, Department of Internal Medicine, Staten Island University Hospital, 475 Seaview Avenue, State Island, NY 10304, United States. dr.bhavipandya@gmail.com
Research Domain of This Article
Cardiac & Cardiovascular Systems
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Cardiol. Mar 26, 2015; 7(3): 157-160 Published online Mar 26, 2015. doi: 10.4330/wjc.v7.i3.157
9.1 cm abdominal aortic aneurysm in a 69-year-old male patient
Celine Saade, Bhavi Pandya, Muhammad Raza, Mustafain Meghani, Deepak Asti, Foad Ghavami
Celine Saade, Bhavi Pandya, Muhammad Raza, Mustafain Meghani, Deepak Asti, Foad Ghavami, Department of Internal Medicine, Staten Island University Hospital, Staten Island, NY 10304, United States
Author contributions: Saade C and Pandya B were involved in drafting and analyzing the case report; Raza M, Meghani M, Asti D and Ghavami F were critically involved in interpreting and revising manuscript as well as in final approval of manuscript.
Supported by Department of Internal Medicine, Staten Island University Hospital, Staten Island, NY 10304, United States.
Ethics approval: The study was reviewed and approved by the (Staten Island University Hospital) Institutional Review Board.
Informed consent: Legal guardian provided informed written consent prior to study enrollment. A copy of consent is attached.
Conflict-of-interest: None.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Bhavi Pandya, MD, Department of Internal Medicine, Staten Island University Hospital, 475 Seaview Avenue, State Island, NY 10304, United States. dr.bhavipandya@gmail.com
Telephone: +1-909-9643904
Received: November 1, 2014 Peer-review started: November 2, 2014 First decision: November 14, 2014 Revised: December 7, 2014 Accepted: January 18, 2015 Article in press: January 20, 2015 Published online: March 26, 2015 Processing time: 131 Days and 15.1 Hours
Abstract
We are presenting a case of one of the largest un-ruptured abdominal aortic aneurysm ever reported. Presented here is a rare case of a 69-year-old active smoker male with history of hypertension and incidental diagnosis of abdominal aortic aneurysm of 6.2 cm in 2003, who refused surgical intervention at the time of diagnosis with continued smoking habit and was managed medically. Patient was subsequently admitted in 2012 to the hospital due to unresponsiveness secondary to hypoglycemia along with diagnosis of massive symptomatic pulmonary embolism and non-ST elevation myocardial infarction. With the further inpatient workup along with known history of abdominal aortic aneurysm, subsequent computed tomography scan of abdomen pelvis revealed increased in size of infrarenal abdominal aortic aneurysm to 9.1 cm of without any signs of rupture. Patient was unable to undergo any surgical intervention this time because of his medical instability and was eventually passed away under hospice care.
Core tip: Regular screening of patients with abdominal aortic aneurysm with abdominal ultrasound to prevent catastrophic complication of aortic rupture and early aggressive surgical intervention when indicated.
