Arkus Aortanın Sakküler Anevrizması

Authors : Yusuf Karavelioğlu, Emrah Ereren, Adnan Yalçınkaya, Adem İlkay Diken

Pages : 151-151

Doi:10.4274/khj.5014

View : 23 | Download : 13

Publication Date : 2013-02-01

Article Type : Research Paper

Abstract :A 65 year old woman was admitted to our hospital with dyspne. She had a medical history of hypertension. Her blood presure was 156/107 mmHg under medication. Physical examination and routine blood tests were normal. The electrocardiogram showed sinus rhythm. Standard anteroposterior chest radiography insert ignore into journalissuearticles values(Figure 1A); showed a widened mediastinum so a thoracic aortic aneurysm insert ignore into journalissuearticles values(TAA); was suspected. Transthoracic echocardiography showed normal left ventricular systolic function and also a 36x33 mm saccular aortic aneurysm with intraluminal thrombus which had extended to the lesser curvature of aorta with a narrow neck insert ignore into journalissuearticles values(11 mm); was seen from the suprasternal view insert ignore into journalissuearticles values(Figure 1B);. For a more accurate assessment, we performed computed tomography angiogram of the thoracic aorta. It demonstrated that a saccular aneurysm of the mid inner curvature of aortic arch with some thrombotic material inside the aneurysm insert ignore into journalissuearticles values(Figures 1C, 1D);. The rest of the aorta was not dilated. She had no history of severe chest or back pain, hoarseness and trauma. The patient and her family were informed about the recommended surgical and endovascular repair options if needed. The patient was initially managed conservatively with aggressive antihypertensive therapy.
Keywords : Arkus aorta, anevrizma