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An 84-year-old man with a history of gastric cancer and hypertension was admitted to the emergency department in shock after loss of consciousness. Ten years earlier he had been given a diagnosis of a thoracic aortic aneurysm, 56 mm in diameter, and had declined surgical treatment. Although the aneurysm had increased in size over the decade — as documented at various years of age on computed tomographic (CT) studies — and had reached 98 mm in diameter, he had been asymptomatic until the current episode. CT scans revealed a rupturing aneurysm involving the ascending aorta, aortic arch, and descending aorta. . . . [Full Text of this Article] |
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