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Previous Volume 355:393 July 27, 2006 Number 4 Next

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View larger version (82K): [in this window] [in a new window]   A 73-year-old man with a previous history of hypertension and diabetes mellitus had undergone aortic-valve replacement for aortic stenosis and received a pacemaker for a junctional rhythm several years earlier. A routine follow-up chest x-ray film raised the possibility of an aortic-arch aneurysm. The pacemaker was functioning properly. What is the diagnosis? Editor's note: We invite our readers to submit their answers at www.nejm.org/mystery. We will publish the diagnosis in the Correspondence section of the September 21, 2006, issue and e-mail it to everyone who submits an answer. All answers must be received by August 9, 2006.

 

J.R.A. Turkington, F.R.C.R.
E. McAteer, F.R.C.R.
Craigavon Area Hospital
Portadown BT63 5QQ, Northern Ireland, United Kingdom

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Medical Mystery: Abnormal Chest Film — The Answer
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Extract | Full Text | PDF  
N Engl J Med 2006; 355:1283-1284, Sep 21, 2006. Correspondence

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