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Ascending aortic aneurysm

Case contributed by Dr Hidayatullah Hamidi

Presentation

No clinical information provided by the ordering physician. Echo reported: Markedly dilated aortic root, mobile flap extending to aortic arch (? aortic dissection)

Patient Data

Age: 35 years
Gender: Male
CT

No evidence of aortic dissection.

Aneurysmal dilatation of the ascending aorta is noted from the level of the aortic sinus to the aortic arch.
Aortic diameters are as below:

  • level of the aortic annulus: 5.6 cm in AP diameter.
  • level of the aortic sinus: 7.2 cm in AP diameter. 
  • level of the sinotubular junction: 8.8 cm in AP diameter.
  • mid ascending aorta: 9.3 cm in AP diameter.
  • high ascending aorta (before the arch): 4 cm.
  • aortic arch: 3 cm
  • descending aorta: 3.2 cm.

The rest of the mediastinal great vessels are unremarkable.

Case Discussion

Aortic root/ascending aorta are the commonest sites involved by the thoracic aortic aneurysm.

No clinicopathologic data were available to look for the possible etiology in this young aged patient.

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Case information

rID: 86279
Published: 27th Jan 2021
Last edited: 29th Jan 2021
System: Cardiac
Inclusion in quiz mode: Included

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