J Cardiovasc Ultrasound.  2006 Jun;14(2):70-74.

A Case of Huge Ascending Aortic Aneurysm with Wall Calcification

Affiliations
  • 1Department of Cardiology, Gwangju Veterans Hospital, Gwangju, Korea. kvhwkim@chol.com
  • 2Department of Radiology, Gwangju Veterans Hospital, Gwangju, Korea.

Abstract

Although ascending aortic aneurysm is a uncommon disease, it has fatal complications such as aortic rupture, dissection, or death. So, experts recommend a preemptive aortic operation. A 77-year-old man with hypertension visited for slow progressive exertional dyspnea and general weakness. Chest X-ray showed deviation of trachea to right, mediastinal widening, cardiomegaly, and bulging of right heart border to right. Transthoracic echocardiography(TTE) and transesophageal echocardiography(TEE) showed marked dilated ascending aorta with wall calcification associated with severe aortic regurgitation and pericardial effusion. Measured diameter of ascending aorta was 12 x 11 cm on Chest Computed Tomography (CT) scan, 8.35 cm on TTE, and 10.2 cm on TEE. Our exam found out the obstructive pneumonia and aortic regurgitation as consequences of complications of huge aneurysm. We report a case of huge ascending aortic aneurysm without any previous aortic operation, aortic complications, trauma, or other etiologic factors.

Keyword

Aortic aneurysm; Pneumonia; Aortic valve insufficiency

MeSH Terms

Aged
Aneurysm
Aorta
Aortic Aneurysm*
Aortic Rupture
Aortic Valve Insufficiency
Cardiomegaly
Dyspnea
Heart
Humans
Hypertension
Pericardial Effusion
Pneumonia
Thorax
Trachea
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