Descending thoracic aortic aneurysm in a patient with Marfan syndrome

Case contributed by Dr Sajoscha Sorrentino

Diagnosis certain

Presentation

Asymptomatic patient with known aortic aneurysm presented for follow up.

Patient Data

Age: 35 years

Gender: Female

From the case: Descending thoracic aortic aneurysm in a patient with Marfan syndrome

MRI

Aneurysm of the descending thoracic aorta with a diameter of 45 mm over a length of 50 mm. Note that both subclavian arteries (left > right) are also dilated.

2 case question available

Case Discussion

Thoracic aortic aneurysms are relatively uncommon compared to their counterparts below the diaphragm (see abdominal aortic aneurysm), but have a wider range of causes.