American Journal of Medical Case Reports
ISSN (Print): 2374-2151 ISSN (Online): 2374-216X Website: https://www.sciepub.com/journal/ajmcr Editor-in-chief: Apply for this position
Open Access
Journal Browser
Go
American Journal of Medical Case Reports. 2017, 5(12), 289-292
DOI: 10.12691/ajmcr-5-12-2
Open AccessCase Report

Importance of Thoracic Aorta Imaging in Hypertensive Patients: A Case Report

Goldstein Randi1, , Chen Edward2 and Lundberg Gina Price3

1Medical, Mercer University School of Medicine, Savannah, GA, USA

2Professor of Surgery, Division of Cardiothoracic Surgery, Department of Surgery, Emory University School of Medicine, Executive Director Aortic Center, Atlanta, GA, USA

3Associate Professor of Medicine, Division of Cardiology, Department of Medicine, Emory University School of Medicine, Clinical Director Emory Women’s Heart Center, Atlanta, GA, USA

Pub. Date: January 05, 2018

Cite this paper:
Goldstein Randi, Chen Edward and Lundberg Gina Price. Importance of Thoracic Aorta Imaging in Hypertensive Patients: A Case Report. American Journal of Medical Case Reports. 2017; 5(12):289-292. doi: 10.12691/ajmcr-5-12-2

Abstract

Hypertension, a prevalent condition in the United States and in the developed world, is a significant risk factor associated with aortic aneurysms. This case study describes a 7.3cm Transverse Aortic Arch Aneurysm identified in a 56-year-old female with a history of smoking and essential hypertension. The size, location, age of the patient, and the fact that this aneurysm was an incidental finding make this case novel. The size of this aneurysm and its ability to remain undetected for such an extended period of time was remarkable, but not unusual for this disease process. Based on current guidelines, this patient was not an appropriate candidate for screening via aortic imaging.

Keywords:
hypertension aneurysm

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

Figures

Figure of 4

References:

[1]  Robbins, Stanley L., et al. Pathologic basis of disease, Saunders, Elsevier, Philadelphia, PA, 2015.
 
[2]  Hiratzka LF, Bakris GL, Beckman JA, Bersin RM, Carr VF, Casey Jr. DE, et al., “2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM Guidelines for the Diagnosis and Management of Patients With Thoracic Aortic Disease” Journal of the American College of Cardiology, 55: 27-129, 2010
 
[3]  Thoracic Aortic Aneurysm (TAA) Symptoms [Internet]. Stanford Health Care (SHC) - Stanford Medical Center. 2015 [cited 2017Jul17]. Available from: https://stanfordhealthcare.org/medical-conditions/blood-heart-circulation/thoracic-aortic-aneurysm/symptoms.html.
 
[4]  Erbel R, Aboyans V, Boileau C, Bossone E, Di Bartolomeo R, Eggebrecht H, et al. 2014 ESC Guidelines on the diagnosis and treatment of aortic diseases. European Heart Journal. 2014; 35: 2873-926.
 
[5]  Chan KK, Rabkin SW. Increasing Prevalence of Hypertension Among Patients With Thoracic Aorta Dissection: Trends Over Eight Decades—A Structured Meta-analysis. American Journal of Hypertension. 2014; 27: 907-17.
 
[6]  Merz CNB, Andersen H, Sprague E, Burns A, Keida M, Walsh MN, et al. Knowledge, Attitudes, and Beliefs Regarding Cardiovascular Disease in Women. Journal of the American College of Cardiology. 2017; 70: 123-32.
 
[7]  Thoracoabdominal Aortic Aneurysm [Internet]. St. Peter's Hospital. [cited 2017Jul17]. Available from: http://www.sphcs.org/ThoracoabdominalAorticAneurysm.