Administration of ECT in a patient with an inoperable abdominal aortic aneurysm: serial imaging of the aorta during maintenance.
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.
Porquez
Jocelyn M
JM
Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, Georgia 30329-5102, USA. jocelyn.porquez@emoryhealthcare.org
Thompson
Thomas R
TR
McDonald
William M
WM
D000368:Aged; D001014:Aortic Aneurysm / Q000150:complications* / Q000000981:diagnostic imaging*; D001714:Bipolar Disorder / Q000628:therapy*; D004452:Echocardiography; D004565:Electroconvulsive Therapy / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D020961:Lewy Body Disease / Q000628:therapy; D008297:Male; D008991:Monitoring, Physiologic; D016896:Treatment Outcome