A Case of Huge Ascending Aortic Aneurysm with Wall Calcification.
- Author:
Won Yu KANG
1
;
Wan KIM
;
Sang Chul JO
;
An Duk JUNG
;
Young Chan JO
;
Young Hwa KI
;
Bong Gyu LEE
;
Sun Ho HWANG
;
Han Kyun KIM
;
Won KIM
;
Bang Eun LIM
Author Information
1. Department of Cardiology, Gwangju Veterans Hospital, Gwangju, Korea. kvhwkim@chol.com
- Publication Type:Case Report
- Keywords:
Aortic aneurysm;
Pneumonia;
Aortic valve insufficiency
- MeSH:
Aged;
Aneurysm;
Aorta;
Aortic Aneurysm*;
Aortic Rupture;
Aortic Valve Insufficiency;
Cardiomegaly;
Dyspnea;
Heart;
Humans;
Hypertension;
Pericardial Effusion;
Pneumonia;
Thorax;
Trachea
- From:Journal of Cardiovascular Ultrasound
2006;14(2):70-74
- CountryRepublic of Korea
- Language:Korean
-
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.
