Ascending aortic aneurysm in a young patient with arterial hypertension.
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Abstract
Aortic aneurysm of the ascending aorta is a condition occurring with a frequency of approximately 2.1% in the population, and its risk increases with age. This case report pertains to a young man with severe primary arterial hypertension and obesity, in whom an ascending aortic aneurysm requiring surgical treatment was diagnosed. Based on the analysis of common risk factors for the development of an ascending aortic aneurysm, his risk of contracting the condition was found to be similar to the population's risk. The case highlights the need for an individual assessment of the patient regarding potential hypertension-mediated organ damage. Although echocardiography is not recommended by the European Society of Hypertension as a basic screening test for individuals with newly diagnosed arterial hypertension, its performance should be considered for individuals who are obese and/or suffer from arterial hypertension of grade 2 or higher.
Keywords: ascending aortic aneurysmaneurysmascending aortahypertensionprimary arterial hypertension
References
- Mori M, Bin Mahmood SU, Yousef S, et al. Prevalence of Incidentally Identified Thoracic Aortic Dilations: Insights for Screening Criteria. Can J Cardiol. 2019; 35(7): 892–898.
- Lodewyks CL, Prior HJ, Hiebert BM, et al. A Province-Wide Analysis of the Epidemiology of Thoracic Aortic Disease: Incidence Is Increasing in a Sex-Specific Way. Can J Cardiol. 2020; 36(11): 1729–1738.
- Erbel R, Aboyans V, Boileau C, et al. Grupa Robocza Europejskiego Towarzystwa Kardiologicznego (ESC) do spraw rozpoznawania i leczenia chorób aorty. [2014 ESC Guidelines on the diagnosis and treatment of aortic diseases]. Kardiol Pol. 2014; 72(12): 1169–1252.
- Mori M, Gan G, Deng Y, et al. Development and Validation of a Predictive Model to Identify Patients With an Ascending Thoracic Aortic Aneurysm. J Am Heart Assoc. 2021; 10(22): e022102.
- Mancia G, Kreutz R, Brunström M, et al. 2023 ESH Guidelines for the management of arterial hypertension The Task Force for the management of arterial hypertension of the European Society of Hypertension: Endorsed by the International Society of Hypertension (ISH) and the European Renal Association (ERA). J Hypertens. 2023; 41(12): 1874–2071.