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Sixty-eight-year-old woman with a huge calcified aortic arch aneurysm
  1. Si Wang,
  2. Yuan Feng,
  3. Yong Peng
  1. Department of Cardiology, West China Hospital, Sichuan University, Chengdu, China
  1. Correspondence to Dr Yong Peng, Department of Cardiology, West China Hospital, Sichuan University, Chengdu 610041, China; pengyongcd{at}126.com; Dr Yuan Feng, Department of Cardiology, West China Hospital, Sichuan University, Chengdu 610041, China; fynotebook{at}hotmail.com

https://doi.org/10.1136/heartjnl-2020-317577

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    Clinical introduction

    We present the case of a 68-year-old woman admitted with dyspnoea for 1 week. During the week, dyspnoea increased gradually and shock occurred. She was in good health before without hypertension. ECG showed T-wave inversion. White cells, C reactive protein and lactate were increased, while red cells and haemoglobin were in normal ranges. Troponin-T was slightly increased and brain natriuretic peptide was significantly increased. Chest X-ray and plain CT scan showed a huge calcified aortic arch aneurysm (figure 1A,B, solid arrows), pulmonary infection and bilateral pleural effusion. Bedside transthoracic echocardiography indicated …

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    Footnotes

    • Contributors All authors contributed to acquisition of clinical and imaging data, ideation and draft of the article.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient and public involvement Patients and/or the public were not involved in the design, conduct, reporting or dissemination plans of this research.

    • Patient consent for publication Parental/guardian consent obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.