Cardiology Cases

Question 1

A 60 year old male with history of smoking has hypotension, pulsatile abd. mass and flank pain. Dx? MOA? Where is it most likely found?

Answer 1

Dx: Abdominal Aortic Aneurysm
MOA: Atherosclerosis
Found Below Renal Artery and Above the Aortic Bifurcation

Question 2

A 59 year old man has severe chest pain that radiates to the back with unequal BP on both arms. ECG shows no ST segment change but+ for troponin I. Dx? MOA? Primary Risk Factor?

Answer 2

Dx: Aortic Dissection
MOA: Medial hypertrophy of the vasa vasorum=>reduced blood flow to media=>weakened media with high BP=>Intimal Tearing
Risk: HTN