Dissecting aneurysm of a right-sided descending aorta with a left-sided aortic arch.
A 66-year-old man presented with myocardial infarction. Chest X-ray showed a large mediastinal mass. Aortic dissection was suggested by a past history of chest trauma, but the mass was in a very atypical site. Dissection of an abnormally placed right-sided descending aorta was confirmed by computed tomography. The aortic arch lay on the left side. This rare combination of congenital and acquired heart disease led to diagnostic difficulty.
Oldroyd
K G
KG
Department of Cardiology, City General Hospital, Stoke-on-Trent, U.K.
Powell
A
A
Carson
P
P
D000368:Aged; D000784:Aortic Dissection / Q000473:pathology*; D001013:Aorta, Thoracic / Q000002:abnormalities* / Q000473:pathology; D001014:Aortic Aneurysm / Q000473:pathology*; D003327:Coronary Disease / Q000473:pathology; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000473:pathology; D011654:Pulmonary Edema / Q000473:pathology; D014057:Tomography, X-Ray Computed