56 year old with chest pain

Aortic Aneurysm

  • Saccular involves a portion of the wall
  • Fusiform entire circumference of lumen
  • Greater than 6cm or associated with chest pain greater risk of rupture, candidate for surgery
  • Atherosclerotic disease accounts for 80%
  • Proximal Descending aorta most common site of involvement
  • 1/3 of thoracic aneurysms also with AAA
Widened mediastinum
Aneurysm of ascending aorta

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