Aortic aneurysm diagnosed in a Mozambican HIV positive and hypertensive man with echocardiography

Aortic aneurysm might be underdiagnosed on hypertensive HIV infected patients, in settings with limited-resources. Etiological factors include atherosclerosis as well as infections like tuberculosis, syphilis, or HIV-associated vasculitis. HIV/AIDS is a major public health problem in Mozambique and...

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Bibliographic Details
Main Authors: Edy da Emilia Angelo Nacarapa, Artur Francisco Macuacua, Ezio Augusto da Costa Massinga, Jose Manuel Ramos Rincon
Format: Article
Language:English
Published: PAMJ 2020-05-01
Series:PAMJ Clinical Medicine
Subjects:
Online Access: https://www.clinical-medicine.panafrican-med-journal.com/content/article/3/27/pdf/27.pdf
Description
Summary:Aortic aneurysm might be underdiagnosed on hypertensive HIV infected patients, in settings with limited-resources. Etiological factors include atherosclerosis as well as infections like tuberculosis, syphilis, or HIV-associated vasculitis. HIV/AIDS is a major public health problem in Mozambique and throughout Africa, but there is scant literature from this continent regarding clinical outcomes in people with HIV and aortic dissection. This case report describes a 42-year-old hypertensive man on antiretroviral therapy for HIV, who developed symptoms of deteriorating shortness of breath on exertion. Transthoracic echocardiogram demonstrated an aortic root and ascending aorta dilatation, along with severe aortic valve regurgitation. The final outcome was not favourable.
ISSN:2707-2797
2707-2797