Recurrent aspiration pneumonia associated with giant aortic aneurysm

Autores

  • Leonardo Santos Hoff Hospital de Clínicas de Porto Alegre
  • Pedro Schestatsky Universidade Federal do Rio Grande do Sul

Palavras-chave:

Aneurisma, Pneumonia Aspirativa, Disfagia

Resumo

A 83-year-old woman presented to the emergency department with fever, productive cough and dyspnea. She was previously diagnosed with dementia and systemic hypertension, and was heavy smoker for nearly 50 years. Her relatives reported that in the past four months she was admitted two times for aspiration pneumonia. Chest radiography showed right lower lobe consolidation and a large mediastinal mass (Panel A). A computed tomography angiography revealed a 10,2 cm descending aortic aneurysm compressing the esophagus (Panel B and C). Serologic VDRL test was negative. Esophageal clearance was moderately diminished above the level of the aortic arch, with antiperistaltic contractions, according to videofluoroscopic swallowing study; oropharyngeal dysphagia was also present. The patient was treated for aspiration pneumonia and assessed by cardiovascular surgeons, who decided for a conservative treatment due to the characteristics of the aneurysm and her clinical condition. She was discharged with an optimized treatment for systemic hypertension including beta-blockers, and appropriate diet for dysphagia.

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Biografia do Autor

Leonardo Santos Hoff, Hospital de Clínicas de Porto Alegre

Serviço de Medicina Interna - HCPA

Pedro Schestatsky, Universidade Federal do Rio Grande do Sul

Serviço de Medicina Interna, Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brasil

Faculdade de Medicina, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brasil.

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Publicado

2014-04-03

Como Citar

1.
Hoff LS, Schestatsky P. Recurrent aspiration pneumonia associated with giant aortic aneurysm. Clin Biomed Res [Internet]. 3º de abril de 2014 [citado 28º de março de 2024];34(1). Disponível em: https://seer.ufrgs.br/index.php/hcpa/article/view/42313

Edição

Seção

Relatos de Casos: Imagens em Medicina