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Mr. Huy, a 65-year-old man, suffered from a week of coughing and chest pain that ultimately led to the discovery of an aortic aneurysm due to progressive atherosclerosis. He had been using corticosteroids to treat gout for three months, and also had 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 caused by prolonged use of corticosteroid drugs. This weakened his immune system and made 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 severe vascular calcification leading to a saccular aneurysm in his thoracic aorta despite blood coagulating at the tear site preventing catastrophic rupture. The doctor recommended quick intervention to prevent potential life-threatening complications.

Thoracic aortic aneurysms are known to have various causes such as genetic factors, hypertension, diabetes, and other conditions but in Mr. Huy’s case prolonged use of corticosteroid drugs exacerbated his existing health issues leading to the development of the aneurysm.

Due to the complexity of Mr. Huy’s case, the medical team decided to perform bypass surgery followed by insertion of stent grafts to address both conditions before releasing him from hospital showing improvement signs and relief from chest pain and fatigue.

In conclusion thoracic aortic aneurysms are potentially life-threatening conditions that require prompt medical intervention while patients should be cautious about long-term use of corticosteroid drugs and seek regular monitoring for any underlying health issues maintaining healthy lifestyle managing blood pressure levels cholesterol levels staying active can help reduce risks developing such complications like aneurysms

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