J Korean Soc Echocardiogr.  1997 Jul;5(1):58-63.

A Case of Saccular Arteriosclerotic Aortic Aneurysm Associated with Thrombus in Aortic Arch

• Kim YR
• Kim W
• Baek JC
• Kang HS
• Youm HR
• Rheu HS
• Lee S
• Myung JI
• Kim SH

Abstract

An aortic aneurysm is described as a permanent localized dilatation of the aorta having a diameter at least 1.5 times that of the expected norrnal diameter of that given aortic segment. Thoracic aortic aneurysms are much less common than are aneurysms of the abdominal aorta. Thoracic aneurysms are classified by the portion of aorta involved, I.e., the ascending, arch, or descending thoracic aorta. We experienced a case of saccular arteriosclerotic aortic aneurysm associated with thrombus in aortic arch in a 78 year-old male who had history of hypertension. He was admitted to Kwangju Veterans Hospital complaining of drowsy mental state and swelling of left foreann. The chest X-ray, chest CT and echocardiogram showed saccular dilatation(maximal diarneter ; 7.67~7.86cm) associated with thrombus in aortic arch. He refused operation because of old age, so he was conservatively rnanaged including propranolol. We report this case of saccular arteriosclerotic aneurysm of aortic arch with a brief review of literature.

Keyword

Saccular arteriosclerotic aortic aneurysm; Thrombus

MeSH Terms

Aged
Aneurysm
Aorta
Aorta, Abdominal
Aorta, Thoracic*
Aortic Aneurysm*
Aortic Aneurysm, Thoracic
Dilatation
Gwangju
Hospitals, Veterans
Humans
Hypertension
Male
Propranolol
Thorax
Thrombosis*
Tomography, X-Ray Computed
Propranolol