1. All in the Family: A Curious Case of Aortopathy
- Author
-
Evan Stern, Saira Bilal, and Erica McBride
- Subjects
medicine.medical_specialty ,business.industry ,Deep vein ,Pulmonary artery dilatation ,medicine.disease ,Thoracic aortic aneurysm ,Thrombosis ,Aortic aneurysm ,medicine.anatomical_structure ,Rheumatology ,Large vessel vasculitis ,cardiovascular system ,Medicine ,cardiovascular diseases ,Radiology ,Headaches ,medicine.symptom ,business ,Lower limbs venous ultrasonography - Abstract
A 28-year-old African American male with history of intermittent headaches presented to an outside hospital (OSH) with few days history of severe right lower extremity pain, swelling and dyspnea. Lower extremity venous ultrasound revealed a large occlusive deep vein thrombosis (DVT) extending from the right common femoral to the right popliteal vein. Chest Computed tomography angiogram (CT Angiogram) revealed a 5.9 cm mid ascending thoracic aortic aneurysm, a 3.2 cm pulmonary artery dilatation and no evidence of pulmonary embolus. He was started on anticoagulation with intravenous heparin and transferred to our institution for surgical management of the aortic aneurysm and evaluation for large vessel vasculitis.
- Published
- 2021