Introduction: Aortic aneurysm (AA) is a frequent pathology in the general population. Patients at risk are those who have factors that can lead to arterial degeneration mainly high blood pressure (HBP), smoking and inflammation. In patients with chronic kidney failure (CKF) especially those who undergo hemodialysis who have almost all these risk factors, very little attention on the study of AA is accorded them. We reported two cases of AA in hemodialysis patients. Observation: Case 1. Fifty two (52) years old male, with past history of HBP since 21years of age, declared to have a terminal CKF from an undetermined nephropathy that has been on hemodialysis since 15 years. After 6 years of hemodialysis he presented an acute coronary syndrome associated with a painful abdominal syndrome which led to the diagnosis of aneurysm of the ascending aorta that measured 5cm in diameter. Therapeutic abstinence was adopted with annual follow up using chest angio-CT scan and thrombosis prevention using platelet aggregation inhibitors. The lesion is stable since 9 years. Case 2. Forty two (42) years old male, with no particular past history. Terminal CKF from an undetermined nephropathy that has been on hemodialysis since 6 years. On the 5th year of hemodialysis he presented a painful abdominal syndrome with no gas no food passage that lead to the diagnosis of abdominal aorta aneurysm of 4.7cm diameter and a height of 12cm. Atherapeutic abstinence was adopted with follow up and anti thrombolytic therapy put. After one year of evolution, the patient developed a mesenteric artery ischemia that on exploration showed a fissuration of the aneurysm that lead to the death of the patient. Conclusion: Aortic aneurysm in CKF has been a concerned in patients who had in most cases polycystic kidney disease who were not yet on hemodialysis. AA is a reality in patients on hemodialysis. Its evolution is uncertain and at times it is fatal. Screening for it is obligatory.
| Published in | American Journal of Internal Medicine (Volume 3, Issue 4) |
| DOI | 10.11648/j.ajim.20150304.11 |
| Page(s) | 153-155 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
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Copyright © The Author(s), 2015. Published by Science Publishing Group |
Aneurysm, Aorta, Hemodialysis
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APA Style
Befa Noto Kadou Kaza, Kossi Akomola Sabi, Ali Hissein Mahamat, Yasminatou Aminata Wendkuuni Bikinga, Mays Hadi Al Torayhi, et al. (2015). Aortic Aneurysm in Hemodialysis Patients: A Report of Two Cases. American Journal of Internal Medicine, 3(4), 153-155. https://doi.org/10.11648/j.ajim.20150304.11
ACS Style
Befa Noto Kadou Kaza; Kossi Akomola Sabi; Ali Hissein Mahamat; Yasminatou Aminata Wendkuuni Bikinga; Mays Hadi Al Torayhi, et al. Aortic Aneurysm in Hemodialysis Patients: A Report of Two Cases. Am. J. Intern. Med. 2015, 3(4), 153-155. doi: 10.11648/j.ajim.20150304.11
AMA Style
Befa Noto Kadou Kaza, Kossi Akomola Sabi, Ali Hissein Mahamat, Yasminatou Aminata Wendkuuni Bikinga, Mays Hadi Al Torayhi, et al. Aortic Aneurysm in Hemodialysis Patients: A Report of Two Cases. Am J Intern Med. 2015;3(4):153-155. doi: 10.11648/j.ajim.20150304.11
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author = {Befa Noto Kadou Kaza and Kossi Akomola Sabi and Ali Hissein Mahamat and Yasminatou Aminata Wendkuuni Bikinga and Mays Hadi Al Torayhi and Eyram Yoan Makafui Amekoudi and Comlan Mawuko Blitti and Keyit Leonard Yegha and Ghislaine Medkouri and Mohamed Gharbi Benghanem and Benyounes Ramdani},
title = {Aortic Aneurysm in Hemodialysis Patients: A Report of Two Cases},
journal = {American Journal of Internal Medicine},
volume = {3},
number = {4},
pages = {153-155},
doi = {10.11648/j.ajim.20150304.11},
url = {https://doi.org/10.11648/j.ajim.20150304.11},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajim.20150304.11},
abstract = {Introduction: Aortic aneurysm (AA) is a frequent pathology in the general population. Patients at risk are those who have factors that can lead to arterial degeneration mainly high blood pressure (HBP), smoking and inflammation. In patients with chronic kidney failure (CKF) especially those who undergo hemodialysis who have almost all these risk factors, very little attention on the study of AA is accorded them. We reported two cases of AA in hemodialysis patients. Observation: Case 1. Fifty two (52) years old male, with past history of HBP since 21years of age, declared to have a terminal CKF from an undetermined nephropathy that has been on hemodialysis since 15 years. After 6 years of hemodialysis he presented an acute coronary syndrome associated with a painful abdominal syndrome which led to the diagnosis of aneurysm of the ascending aorta that measured 5cm in diameter. Therapeutic abstinence was adopted with annual follow up using chest angio-CT scan and thrombosis prevention using platelet aggregation inhibitors. The lesion is stable since 9 years. Case 2. Forty two (42) years old male, with no particular past history. Terminal CKF from an undetermined nephropathy that has been on hemodialysis since 6 years. On the 5th year of hemodialysis he presented a painful abdominal syndrome with no gas no food passage that lead to the diagnosis of abdominal aorta aneurysm of 4.7cm diameter and a height of 12cm. Atherapeutic abstinence was adopted with follow up and anti thrombolytic therapy put. After one year of evolution, the patient developed a mesenteric artery ischemia that on exploration showed a fissuration of the aneurysm that lead to the death of the patient. Conclusion: Aortic aneurysm in CKF has been a concerned in patients who had in most cases polycystic kidney disease who were not yet on hemodialysis. AA is a reality in patients on hemodialysis. Its evolution is uncertain and at times it is fatal. Screening for it is obligatory.},
year = {2015}
}
TY - JOUR T1 - Aortic Aneurysm in Hemodialysis Patients: A Report of Two Cases AU - Befa Noto Kadou Kaza AU - Kossi Akomola Sabi AU - Ali Hissein Mahamat AU - Yasminatou Aminata Wendkuuni Bikinga AU - Mays Hadi Al Torayhi AU - Eyram Yoan Makafui Amekoudi AU - Comlan Mawuko Blitti AU - Keyit Leonard Yegha AU - Ghislaine Medkouri AU - Mohamed Gharbi Benghanem AU - Benyounes Ramdani Y1 - 2015/06/16 PY - 2015 N1 - https://doi.org/10.11648/j.ajim.20150304.11 DO - 10.11648/j.ajim.20150304.11 T2 - American Journal of Internal Medicine JF - American Journal of Internal Medicine JO - American Journal of Internal Medicine SP - 153 EP - 155 PB - Science Publishing Group SN - 2330-4324 UR - https://doi.org/10.11648/j.ajim.20150304.11 AB - Introduction: Aortic aneurysm (AA) is a frequent pathology in the general population. Patients at risk are those who have factors that can lead to arterial degeneration mainly high blood pressure (HBP), smoking and inflammation. In patients with chronic kidney failure (CKF) especially those who undergo hemodialysis who have almost all these risk factors, very little attention on the study of AA is accorded them. We reported two cases of AA in hemodialysis patients. Observation: Case 1. Fifty two (52) years old male, with past history of HBP since 21years of age, declared to have a terminal CKF from an undetermined nephropathy that has been on hemodialysis since 15 years. After 6 years of hemodialysis he presented an acute coronary syndrome associated with a painful abdominal syndrome which led to the diagnosis of aneurysm of the ascending aorta that measured 5cm in diameter. Therapeutic abstinence was adopted with annual follow up using chest angio-CT scan and thrombosis prevention using platelet aggregation inhibitors. The lesion is stable since 9 years. Case 2. Forty two (42) years old male, with no particular past history. Terminal CKF from an undetermined nephropathy that has been on hemodialysis since 6 years. On the 5th year of hemodialysis he presented a painful abdominal syndrome with no gas no food passage that lead to the diagnosis of abdominal aorta aneurysm of 4.7cm diameter and a height of 12cm. Atherapeutic abstinence was adopted with follow up and anti thrombolytic therapy put. After one year of evolution, the patient developed a mesenteric artery ischemia that on exploration showed a fissuration of the aneurysm that lead to the death of the patient. Conclusion: Aortic aneurysm in CKF has been a concerned in patients who had in most cases polycystic kidney disease who were not yet on hemodialysis. AA is a reality in patients on hemodialysis. Its evolution is uncertain and at times it is fatal. Screening for it is obligatory. VL - 3 IS - 4 ER -
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