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

A 65-year-old man named Mr. Huy experienced a week of coughing and chest pain, leading to the discovery of an aortic aneurysm due to progressive atherosclerosis after using corticosteroids to treat gout for three months. He also has diabetes, hypertension, and gout. In early March, he experienced swelling in his face and upper body and shrinking in his arms and legs. A week before hospital admission, he suffered from severe chest pain, fatigue, cough, and high fever.

Dr. Nguyen Anh Dung, the Head of the Department of Cardiovascular and Thoracic Surgery at Tam Anh General Hospital in Ho Chi Minh City, diagnosed Mr. Huy with Cushing’s syndrome, likely caused by prolonged use of corticosteroid drugs. This weakened his immune system, making him more susceptible to infections. Dr. Dung 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.

Mr. Huy’s condition was further complicated by atherosclerosis and severe vascular calcification, leading to a saccular aneurysm in his thoracic aorta. Despite the critical situation, Dr. Dung noted that the patient was fortunate that the blood coagulated at the tear site, preventing a catastrophic rupture. The doctor recommended quick intervention to prevent potential life-threatening complications.

Thoracic aortic aneurysms can have various causes, including atherosclerosis, genetic factors

By Sophia Gonzalez

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