Aortic spindle

Case contributed by Dr Henry Knipe


Chest pain.

Patient Data

Age: 65
Gender: Male

There is mild fusiform dilatation of the descending thoracic aorta just distal to the ligamentum arteriosum measuring approximately 4 cm in diameter. The aortic wall has a smooth contour with no atheromatous plaque, penetrating ulcer or dissection flap. No mediastinal hematoma.

Case courtesy Dr Elaine Lui, The Royal Melbourne Hospital. 

Case Discussion

The appearance of the proximal descending aorta reflects an "aortic spindle" - this is an anatomical variant where there is a smooth, mild "bulge" just beyond the aortic isthmus. 

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Case information

rID: 45986
Published: 16th Jun 2016
Last edited: 14th Aug 2019
System: Vascular
Inclusion in quiz mode: Excluded

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