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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 340:1571-1579 May 20, 1999 Number 20
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Case 15-1999— A 77-Year-Old Man with Hemoptysis and Cardiovascular Disease
Craig M. Lilly, and Eugene J. Mark

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Presentation of Case

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 . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnoses

Dr. Craig M. Lilly's Diagnosis

Pathological Discussion

Anatomical Diagnoses

References




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