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Large Thoracic Aortic Aneurysm Associated with Left Pleural Effusion, Right Main Pulmonary Artery Embolus and Pericardial Effusion

Clinical Images

Large Thoracic Aortic Aneurysm Associated with Left Pleural Effusion, Right Main Pulmonary Artery Embolus and Pericardial Effusion

Author Information:
Robert S. Dieter, MD, RVT and Donald Thomas, MD

Case Presentation

An 85-year-old male presented to the emergency room with recent onset of dyspnea and orthopnea. He had a known thoracic aortic aneurysm. On examination, he was found to be hypoxic and in atrial fibrillation with a rapid ventricular rate. A CT of the chest was performed, which demonstrated a large thoracic aortic aneurysm associated with a left pleural effusion, a large right main pulmonary artery embolus and a large pericardial effusion. The patient declined aggressive treatment.

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Robert S. Dieter, MD, RVT and Donald Thomas, MD* From Interventional Cardiology, Vascular and Endovascular Medicine, Loyola University, Maywood, Illinois, and *Cardiac Surgery, Hines Veterans Administration Hospital, Hines, Illinois. The authors report no conflicts of interest regarding the content herein. Address for correspondence: Robert S. Dieter, MD, RVT, Vascular & Endovascular Medicine, Interventional Cardiology, Loyola University Medical Center, Director of Vascular Medicine and Peripheral Vascular Interventions, Assoc. Chief of Cardiology, Hines VA Hospital, 5000 S. 5th Ave., Hines, IL 60141. E-mail: rdieter@lumc.edu
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