Presentation
Chest pain.
Patient Data
Age: 65 years
Gender: Male
From the case:
Aortic spindle
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Info
There is mild fusiform dilatation of the descending thoracic aorta just distal to the ligamentum arteriosum measuring approximately 4 cm in diameter. The aortic wall has a smooth contour with no atheromatous plaque, penetrating ulcer or dissection flap. No mediastinal hematoma.
Case courtesy Dr Elaine Lui, The Royal Melbourne Hospital.
Case Discussion
The appearance of the proximal descending aorta reflects an "aortic spindle" - this is an anatomical variant where there is a smooth, mild "bulge" just beyond the aortic isthmus.
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