An Uncommon Complication of Nondissected Ascending Aortic Aneurysm
2005; Lippincott Williams & Wilkins; Volume: 112; Issue: 9 Linguagem: Inglês
10.1161/circulationaha.104.483495
ISSN1524-4539
AutoresEnrique Antón, Mariam Echeverría,
Tópico(s)Infectious Aortic and Vascular Conditions
ResumoA n 86-year-old woman was admitted with a 2-week-long history of increasing dyspnea.She had an ascending thoracic aortic aneurysm (8ϫ9 cm) diagnosed 5 years before.On admission, the patient was in moderate respiratory distress.Her vital signs were blood pressure 130/80, heart rate 72 bpm (irregular), respiration rate 32 rpm, and temperature 36°C.Chest auscultation revealed decreased breath sounds at right base.The ECG showed atrial fibrillation.Basic laboratory data were unremarkable.Chest x-ray findings are shown in Figure 1.The echocardiogram revealed a nonenlarged left ventricle.Thoracocentesis yielded a pleural fluid with characteristics of transsudate.A thoracic CT scan confirmed that aortic aneurysm had been enlarged (9.5ϫ10 cm), extended posteriorly, and severely compressed the right pulmonary
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