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A 77-year-old man was admitted to the hospital because of syncope and hemoptysis.
The patient had a long history of type 2 diabetes mellitus, hypertension, coronary artery disease, congestive heart failure, paroxysmal atrial fibrillation, and chronic renal insufficiency ascribed to nephrosclerosis. Two years before the current admission, a leaking abdominal aortic aneurysm had been repaired elsewhere. Ten and a half weeks before the current admission, he was admitted to this hospital because of worsening back pain and was found to have an aneurysm of the descending thoracic aorta, 8.7 cm in diameter; the entire descending thoracic aorta was repaired, with
Differential Diagnosis
Clinical Diagnoses
Dr. Craig M. Lilly's Diagnosis
Pathological Discussion
Anatomical Diagnoses
References
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