Large thoracic aortic aneurysm

Discussion:

The patient was referred urgently to a tertiary cardiothoracic and vascular surgical unit where a CT (not available) demonstrated a massive Stanford type A aortic dissection and aneurysm. The dissection arose from the aortic root, extended into the brachiocephalic trunk and terminated in the abdominal aorta at the level of the celiac trunk. The patient was a known poorly controlled hypertensive.

After discussion with the family, non-operative management and antihypertensive medication were decided as the most appropriate treatment and the patient died soon after.

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