Hello doctor,
My mom is a 92 years old with congestive heart failure.
CT scan showed extensive atherosclerosis of the aorta. Probable high-grade stenosis of the right common iliac artery and the bilateral common femoral artery. She also has kidney disease in the left kidney and extreme fatigue for two years.
Would she be a candidate for a stent or some other procedure to unblock the artery? And could this condition be causing her fatigue? None of her doctors can figure out the reason for fatigue. Please help.
Hello,
Welcome to icliniq.com.
This is a non-contrast CT (computed tomography) so it is not accurate in estimating the extent of stenosis. (attachment removed to protect patient identity).
She will need a contrast CT angiography of abdominal vessels. However, the common iliac artery and femoral arteries are usually amenable to stenting, unless CT angiography shows diffuse disease (whole of the artery is involved with no normal segment) where stenting would be difficult. However, a disease involving these arteries is unlikely to cause generalized fatigue, but it can cause pain or weakness in the lower limbs while walking.
Regarding the cause for fatigue, I guess the common causes like low hemoglobin, BP issues, any medications, deranged kidney function, low Vitamin D, deranged blood sugar are ruled out. One important cause that should be ruled out in her is the cardiac cause, because her CT scan shows mild fluid in bilateral lungs which may be related to heart and also with such extensive aortic disease, cardiac arteries are also expected to be involved.
Cardiac disease may cause fatigue, shortness of breath on exertion. So, she should undergo ECG (electrocardiography), echo, and also CT angiography of heart vessels, if possible along with CT angiography of abdominal vessels.
Also, some routine tests like hemogram, LFT (liver function test), RFT (renal function test), vitamin D, thyroid profile, sugar, lipid profile, ESR (erythrocyte sedimentation rate) and CRP (C-reactive protein) should also be performed if not done recently.
I hope this helps.
Was this answer helpful?
|Same symptoms doesn’t mean you have the same problem. Consult a doctor now!
Related Questions:
Heart Healthy Foods
.. people across the globe who suffer from various heart ailments like atherosclerosis, ischemic heart disease, myocardial infarction, coronary heart disease, and stroke. According to the American Public Health Association, a majority of the heart ai... Read full
Please suggest a cure for my skin rashes based on the report... suggest that you are probably having an autoimmune disease. For an exact diagnosis, ANA (antinuclear antibody) global or ANA profile test report and skin or muscle biopsy would be required to avoid any controversies in the future. I also need to k... Read full
I am having diarrhea, severe headaches, and fatigue after contraceptive pill withdrawal. Why?.. description you have mentioned lots of issues that needs to be investigated and sorted out in detail individually. Microadenoma and hormonal imbalance are two separate issues actually those can cause different symptoms, need different investigatio... Read full
Comprehensive Medical Second Opinion.
