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Proximal thoracic aortic aneurysm mimicking a mediastinal neoplasm

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Presentation on theme: "Proximal thoracic aortic aneurysm mimicking a mediastinal neoplasm"— Presentation transcript:

1 Proximal thoracic aortic aneurysm mimicking a mediastinal neoplasm
Mariano Camporrotondo, MD, Fernando Piccinini, MD, Mariano Vrancic, MD  The Journal of Thoracic and Cardiovascular Surgery  Volume 147, Issue 3, Pages (March 2014) DOI: /j.jtcvs Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

2 Figure 1 Preoperative imaging. A, Chest roentgenography showing a high-density mass at the left thoracic cavity with tracheal deviation. B, Contrast-enhanced 64-row multidetector computed tomography of the chest revealing a soft-tissue mass in the left mediastinum, embedded in the immediate right side of the aortic arch, next to the left subclavian artery, with an irregular border, accompanied by compression of the trachea and esophagus. C, Contrast-enhanced magnetic resonance angiography demonstrating a multilobulated mass. D, Angiography revealing an irregular aortic wall lumen without obvious aneurysm. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

3 Figure 2 Intraoperative photographs. A, Intraoperatively, the presumed tumor was seen to arise from the aorta, and the diagnosis of aortic aneurysm was made once it was opened. B, The proximal descending aorta was replaced with a Dacron polyester fabric graft. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

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