A giant thoracic aortic aneurysm causing multiple fistulas and mediastinitis

Endovascular Repair of a Rapidly Enlarging Giant Thoracic Aortic Aneurysm

Introduction: Aneurysms of the descending thoracic aorta are potemtially life threatening situations. Treatment entails either conventional surgical treatment by means of a left lateral thoracotomy or the minimally invasive endovascular treatment. Surgery is indicated when the size of the descending aorta is over 5.5 cm, or there is rapid expansion of the aneurysm. Maximum size of the aorta in ...

Ruptured Thoracic Aneurysm Causing Hematemesis

We present a 72-year-old man who was admitted to the gastroenterology ward after a frank hematemesis. He had been seen 5 days prior in clinic with dysphagia, anorexia, weight loss, and pain in the epigastrium and thoracic spine. At admission he was stable with normotensive blood pressure, not tachycardic, and had hemoglobin 12.5 g/dL. On examination there was epigastric tenderness, but the abdo...

Thoracic Aortic Aneurysm

Acute aortic syndromes and thoracic aortic aneurysm.

Acute and chronic aortic diseases have been diagnosed and studied by physicians for centuries. Both the diagnosis and treatment of aortic diseases have been steadily improving over time, largely because of increased physician awareness and improvements in diagnostic modalities. This comprehensive review discusses the pathophysiology and risk factors, classification schemes, epidemiology, clinic...

Thoracic Aortic Aneurysm and Dissection

Background—Current knowledge of prevalence, incidence, and survival in thoracic aortic diseases (aneurysm and dissection) is based on small studies from a dated era of treatment and diagnostic procedures. The objective of the present study was to reappraise epidemiology and long-term outcomes in subjects with thoracic aortic disease in a large contemporary population. Methods and Results—All su...