Thoracic aortic aneurysm

Case contributed by Dr Henry Knipe


Cough and right lower zone crackles ? pneumonia or pleural effusion.

Patient Data

Age: 70
Gender: Male
Modality: X-ray

Widening of descending thoracic aorta shadow. Abdominal aorta stent graft partially imaged. Stable left lower zone atelectasis. No focal consolidation to suggest pneumonia. Heart size is normal.

Modality: CT

Previous sternotomy and coronary artery graft surgery. Grafts appear densely calcified of the native coronary vessels.

5.4 x 5.7 cm proximal descending thoracic aortic aneurysm.

Mild cardiomegaly and anaemia.

Case Discussion

  • thoracic aortic aneurysms are less common than AAA
  • descending thoracic aorta is the second most common location (after ascending aorta)
  • there is a wide range of causes
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Case Information

rID: 33427
Case created: 12th Jan 2015
Last edited: 5th Dec 2016
Systems: Chest, Vascular
Inclusion in quiz mode: Included

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