Shaikh Rabail Saeed, Yawar Shujee, Khan M Akram
Cardiology, Cardiac Center of Texas, PA, McKinney, USA.
Cureus. 2023 Aug 30;15(8):e44358. doi: 10.7759/cureus.44358. eCollection 2023 Aug.
Abdominal aortic aneurysm (AAA) is mostly present in patients aged ≥65 years. Here, we present an unusual case of a 37-year-old male with a pair of asymptomatic, fusiform abdominal aortic aneurysms above and below the origin of the renal arteries. The patient was diagnosed with AAA in 2016 and had undergone yearly follow-ups since then. He had no major risk factors for AAA other than hypertension, which was managed with medication, and had only a brief history of smoking. He was also negative for all genetic and connective tissue defects. His aneurysms progressed slowly, with proximal and distal aneurysms currently measuring 3.9 cm and 4.5 cm, respectively. The patient was asymptomatic and was closely examined for further management.
腹主动脉瘤(AAA)多见于65岁及以上的患者。在此,我们报告一例罕见病例,一名37岁男性,在肾动脉起源上方和下方各有一个无症状的梭形腹主动脉瘤。该患者于2016年被诊断为腹主动脉瘤,此后每年接受随访。除了通过药物治疗的高血压外,他没有其他主要的腹主动脉瘤危险因素,只有短暂的吸烟史。他所有的基因和结缔组织缺陷检测结果均为阴性。他的动脉瘤进展缓慢,目前近端和远端动脉瘤分别为3.9厘米和4.5厘米。患者无症状,正在接受密切检查以进行进一步治疗。