Thoracic aortic aneuyrsm

Case contributed by Ian Bickle
Diagnosis almost certain

Presentation

Patient presents with chest pain and shortness of breath.

Patient Data

Age: 70 years
Gender: Female
x-ray

Markedly dilated thoracic aorta, involving the arch and descending aorta.

Heart size upper limit of normal.  Lungs clear.

Case Discussion

A thoracic aortic aneursym is less common than an abdominal aortic aneurysm.

Ectasia (unfolding) of the aorta is often identified incidentally in the elderly population and a more common cause of thoracic aortic dilatation.

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