Massive aortic aneurysm, dissection and pericardial effusion

Discussion:

Very dramatic case of an extremely abnormal and aneurysmal thoracic aorta with dissection, resulting in a massive pericardial effusion. The abdominal aorta is also aneurysmal with dissection flap and likely associated atherosclerotic plaquing. It almost defies belief that an aorta can dilate to this extent (8 cm transverse measurement of the arch), and although the patient had no relevant history, an underlying connective tissue disorder seems highly likely. Unfortunately no treatment options were available for this advanced presentation.

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