The Asymptomatic Dissecting Aortic Aneurysm: An Incidental Finding on Ct. | [Journal of College of Physicians and Surgeons--Pakistan : JCPSP • 2018]

Author(s):

1. Ateeque Ahmed Khan: Department of Radiology, Civil Hospital and Dow University of Health Sciences (DUHS), Karachi, Pakistan

2. Mahnoor Hafeez: Department of Radiology, Civil Hospital and Dow University of Health Sciences (DUHS), Karachi, Pakistan

Abstract:

We report a case of 65-year male patient, a known hypertensive and a chronic smoker, who presented to the Civil Hospital, Karachi with complaints of cough, hemoptysis and shortness of breath for three weeks. The chest radiograph showed left apical solitary pulmonary nodule (SPN) and aneurysmal dilatation of the descending thoracic aorta. He was further investigated with contrast enhanced computed tomography (CECT) scan of chest, which apart from demonstrating malignant pulmonary lesion, surprisingly revealed Stanford type B descending thoracic aortic dissecting aneurysm with intramural hematoma, jeopardising renal and splanchnic circulation. An asymptomatic dissecting aortic aneurysm is relatively rare. To the best of authors' knowledge, less than 15 case reports have been published in the international literature.

Page(s): 482-484

DOI: DOI not available

Published: Journal: Journal of College of Physicians and Surgeons--Pakistan : JCPSP, Volume: 28, Issue: 6, Year: 2018

Keywords:

Keywords are not available for this article.

References:

[1] SebastiàC,PallisaE,QuirogaS,Alvarez-CastellsA,DominguezR,EvangelistaA, 1999.Aortic dissection: diagnosis and follow-up with helical CT,Radiographics 19 45 -60

[2] CriadoFJ, 2011.Aortic dissection: a 250-year perspective,Tex Heart Inst J 38 694 -700

[3] AhmadF,CheshireN,HamadyM., 2006.Acute aortic syndrome: pathology and therapeutic strategies,Postgrad Med J 82 305 -12

[4] TsaiTT,EvangelistaA,NienaberCA,TrimarchiS,SechtemU,FattoriR, 2000.International Registry of Acute Aortic Dissection (IRAD): new insights into an old disease,JAMA 283 897 -903

[5] BergmarkBA,SobieszczykP,GravereauxEC,BonacaM,GiuglianoRP, 2013.Acute dissection of the descending aorta: a case report and review of the literature,Cardiol Therap 2 99 -213

[6] HadoHS,ScarpelloJH,BartonT,ScarboroughH,Elhadd TA, 2005.A case of thoracic aortic dissection presenting as lateral pleuritic chest pain,Emerg Med J 22 229 -30

[7] CohenR,MenaD,Carbajal-MendozaR,AroleO,MejiaJO., 2008.A case report on asymptomatic ascending aortic dissection,Int J Angiol 17 155 -61

[8] HashmiM,DarMI,KhanAU,KhanF,KhanAB, 2015.Dissection of ascending aorta after aortic valve replacement and reduction aortoplasty,J Coll Physicians Surg Pak 25 903 -5

[9] Dos SantosVM,MartinsRR,dos Santos BarcelosM,AndradeLM,Silva PazBC,SoaresLA, 2011.Aortic dissection detected 40 days after mitral valve replacement,J Coll Physicians Surg Pak 21 495 -6

[10] MohammadZ,NiazA,MohammadKA,AurangzebD,FareedullahK,AkhtarH, 2011.Acute type a aortic dissection: a pathology under diagnosed,J Postgrad Med Inst 21 4 -

Citations

Downloads

Views