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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 …
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.