CASE REPORT
Year : 2018  |  Volume : 5  |  Issue : 4  |  Page : 286-288

Palpable thoracoabdominal aortic aneurysm through the chest wall: A late and ominous presentation


Department of Cardiovascular and Thoracic Surgery, Division of Vascular Surgery, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India

Correspondence Address:
Dr. Sreekumar Ramachandran
Department of Cardiovascular and Thoracic Surgery, Division of Vascular Surgery, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijves.ijves_35_18

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Thoracoabdominal/thoracic aortic aneurysm is often diagnosed incidentally while evaluating for dyspnea or atypical chest pain of long duration. Late presentation in various forms such as palpable pulsatile swelling in this patient is quite rare and fatal and foreruns impending rupture. We present a 53-year-old female who presented with acute-onset left-sided chest and back pain with swelling on the left side of the chest wall for 2 weeks. She was evaluated with chest X-ray which showed mediastinal widening and computed tomography scan thorax showed a large thoracic aortic aneurysm protruding out through seventh intercostal space onto the chest wall. She underwent open repair of aneurysm and was doing well at 6 months of follow-up. Thoracic aortic aneurysm mandates early diagnosis and prompt treatment as delay in the same leads to fatal rupture. Open surgical repair is the treatment of choice in large aneurysms causing significant compressive symptoms and imminent rupture.


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