Endovascular Management of Thoracic Aneurysm

  • Reda Jamjoom
  • Nasser Alkhamees
  • Cherrie Z. Abraham

Case Report

A 75-year-old male has been referred to your service after a contrast-enhanced spiral computed tomography (CT) performed for investigation of chronic cough revealed an incidental finding of a 7.3 cm thoracic aortic aneurysm (TAA).

Past medical history includes moderate chronic obstructive pulmonary disease (COPD), hypertension, insulin-dependent diabetes and a history of coronary artery catheterization and stenting 5 years ago. The patient denies current angina symptoms. On examination, vital signs are stable, cardio-respiratory examination is within normal limits, and arterial examination reveals no carotid bruits, normal heart sounds without murmurs, no palpable abdominal masses and all upper and lower limb distal pulses are palpable. His routine blood work is within normal range.

Question 1

What is your next investigation?
  1. A.

    Ankle brachial index (ABI)

  2. B.

    Contrast-enhanced computed tomography angiography (CTA) of chest, abdomen and pelvis with 3D reconstruction

  3. C.



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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Reda Jamjoom
    • 1
  • Nasser Alkhamees
    • 2
  • Cherrie Z. Abraham
    • 3
  1. 1.McGill UniversityMontrealCanada
  2. 2.Department of Cardiac SurgeryMcGill UniversityMontrealCanada
  3. 3.Jewish General HospitalMontrealCanada

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