A 57-year-old woman presented to the emergency department with focal, sharp pain radiating to her back for one month. Past medical history was significant for hypertension, hyperlipidemia, tobacco use, and extensive peripheral arterial disease. A lateral chest X-ray revealed a posterior convexity projecting off the proximal descending aorta (Figure 1). Given her renal insufficiency, a magnetic resonance angiogram (MRA) was performed using ferumoxytol. It demonstrated a large 2.0 2.5 cm penetrating aortic ulcer on the lateral proximal descending thoracic aorta (Figure 2). Following hydration protocol, this was later demonstrated on a computed tomography angiogram (CTA) in anticipation of percutaneous repair (Figure 3a-c). The patient underwent repair with placement of an endoluminal aortic stent graft with immediate resolution of chest pain (Figure 4). She remained chest pain free at her one month follow-up appointment.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.