The man, who coughed frequently, found out he had an aortic aneurysm

Life-Saving Intervention: The Urgent Treatment of Mr. Huy’s Thoracic Aortic Aneurysm

In late February, Mr. Huy, a 65-year-old man with diabetes, hypertension, and gout, began experiencing severe chest pain and coughing. After using corticosteroids to treat his gout for three months, he was diagnosed with an aortic aneurysm due to progressive atherosclerosis. Dr. Nguyen Anh Dung, the Head of the Department of Cardiovascular and Thoracic Surgery at Tam Anh General Hospital in Ho Chi Minh City, emphasized the seriousness of chest pain in patients like Mr. Huy as it can be a warning sign of acute aortic pathology or myocardial infarction.

As Mr. Huy’s condition worsened, he developed swelling in his face and upper body and shrinking in his arms and legs. A week before hospital admission, he experienced severe fatigue, coughing and high fever. Dr. Dung diagnosed him with Cushing’s syndrome likely caused by prolonged use of corticosteroid drugs that weakened his immune system and made him more susceptible to infections.

The complexity of Mr. Huy’s case required urgent intervention to prevent potential life-threatening complications. Thoracic aortic aneurysms can have various causes including atherosclerosis, genetic factors, hypertension, diabetes and other conditions that exacerbated by prolonged use of corticosteroid drugs leading to the development of aneurysm in this case. Dr Dung highlighted the importance of minimally invasive procedures such as aortic stent grafts which offer reduced risks and quicker recovery compared to traditional open surgeries.

The medical team decided to perform bypass surgery followed by inserting a stent graft to address the aneurysm before proper blood circulation was restored to the brain. Following the procedures, Mr. Huy showed signs of improvement and experienced relief from chest pain and fatigue.

Thoracic aortic aneurysms are serious conditions that require prompt medical intervention as they are potentially life-threatening if left untreated or misdiagnosed as they can lead to catastrophic rupture if not treated promptly

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