Ascending aortic aneurysm

Discussion:

This is a 45 year old male patient previously healthy presented with severe abdominal pain, admitted through the ER as a case of AF and signs of acute coronary syndrome.

The widened mediation seen in the initial chest x-ray in addition to the signs of acute coronary syndrome suggests vascular (namely aortic) cause. 

CTA was done and showed aneurysmal dilatation of the ascending aorta.

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