Case ReportLarge Thoracic Aortic Aneurysm and Dissection with Rare Complication
Section snippets
Case Report
A 71-year-old man with history of repaired type A thoracic aortic dissection and large aneurysm who presented with a several week history of progressive bilateral upper extremity and facial swelling, intermittent dysphagia, and cough affecting his daily living activities. He had remote history of a 16-cm thoracic aortic aneurysm (TAA) with a Stanford type A dissection involving the aortic arch and the entire descending thoracic and abdominal aorta. This had been repaired 9 years earlier using a
Discussion
TAA is considered when there is 50% diameter increase compared with the normal segment.1 They are usually asymptomatic until they are large enough to compress the surrounding structures.2 As an aneurysm increases in size, patients may experience chest, abdominal, and/or upper back pain.3 Very large unrepaired aneurysms can lead to a variety of complications including compression of the surrounding structures, dissection, and rupture.3 Compression of nearby structures, such as vessels, soft
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Cited by (5)
Ascending Aortic Aneurysm Causing Right Ventricular Outflow Tract Obstruction and Severe Tricuspid Regurgitation
2018, Journal of Cardiothoracic and Vascular AnesthesiaCitation Excerpt :Large aortic aneurysms may provide a myriad of signs and symptoms via mass effect. Several case reports exist detailing aortic aneurysms causing secondary obstruction of mediastinal structures with subsequent tracheal compression,11 cephalic venous obstruction,12 and right-heart failure.13 Compression of RVOT by sinus of Valsalva aneurysms has been well-described elsewhere.14,15
When Aortic Stenting Alone Does Not Solve It: Mass Effect of Thoracic Aneurysms
2017, Annals of Vascular SurgeryCitation Excerpt :This is due to the fact that the simple exclusion of the aneurysm sac may not alleviate the signs and symptoms, unless it is associated to another intervention that will exert its effects in an affected structure, such as a bronchial, esophageal, or superior cava stents.5 However, the conventional lateral thoracotomy (in the context of descending aneurysms6) or sternotomy (in the context of ascending aneurysms) may be too aggressive for a subset of patients requiring CPB and in some cases deep hypothermic circulatory arrest. Advances in the endovascular field furnish physicians with a much less invasive way of dealing with these severe diseases, with known medium and long-term results.
Dysphagia aortica
2022, European Surgery - Acta Chirurgica Austriaca