Page 56 - Virtual Vascular Vol 2 Sep 2020-f

Aortic Arch Abdominal Aortic Aneurysm

Aneurysm

A superior mediastinal mass on
chest X ray

This is a patient with aortic arch aneurysm-
Note the calcified aortic wall (arrow)

61 yr old male
Apart from rupture, the patient may Hypertensive, hyperlipidaemia, ischaemic heart disease with recent
present with hoarseness due to stretching
of the left recurrent laryngeal nerve by the coronary artery bypass

aneurysm resulting in left vocal cord palsy-
Cardiovocal syndrome or Ortner’s Presented with pulsatile abdominal mass (Video)

syndrome Note expansile abdominal pulsation

Treatment options include total arch
replacement with cardiopulmonary bypass,

56 or endovascular repair with branched stent 57
grafts.