Key result
Electroconvulsive therapy (ECT) yielded a remarkable positive response during an acute and maintenance course in a 74-year-old man with an inoperable abdominal aortic aneurysm.
Case Report (n=1)
ECT can be an effective option for managing comorbid mood disorders and agitation in patients with inoperable abdominal aortic aneurysms.
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ECT may be viable in select inoperable AAA cases; hypothesis-generating and requires prospective validation before any practice consideration.
This case report reviews the treatment of a 74-year-old man with an abdominal aortic aneurysm, bipolar affective disorder, and Lewy body dementia who demonstrated a remarkable positive response to an acute and maintenance course of electroconvulsive therapy (ECT) treatment. This is the first report with serial imaging of an abdominal aortic aneurysm during maintenance ECT. There are limited alternative therapies for those patients who do not meet surgical criteria for an abdominal aortic repair because of dementing disorders. In patients who suffer comorbid mood disorders, ECT has been shown to be an effective option in preserving quality of life and successfully stabilizing the level of agitation.
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Porquez et al. (2003) conducted a case report in Abdominal aortic aneurysm, bipolar affective disorder, and Lewy body dementia (n=1). Electroconvulsive therapy (ECT) was evaluated. Electroconvulsive therapy (ECT) yielded a remarkable positive response during an acute and maintenance course in a 74-year-old man with an inoperable abdominal aortic aneurysm.
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