Thoracic aortic aneurysm

Case contributed by Dr Henry Knipe

Presentation

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

Patient Data

Age: 70
Gender: Male
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.

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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