Article Text

Onion skin aneurysm of the aortic arch
  2. M F MÜLLER,
  3. B MEIER

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

A 56 year old man who had had a stroke 10 years previously presented with transient ischaemic attack (TIA). Chest radiography showed a large mass in the right upper hemithorax measuring 12 × 6 cm. Because of chronic renal failure magnetic resonance imaging (MRI) was performed. The coronal MRIs (dark blood T2 weighted turbo spin-echo MRI) showed a saccular aneurysmatic protrusion of the aortic wall originating from the right border of the aortic arch. A large part of the aneurysm was not perfused and was thrombosed in layers (arrowheads). The perfused lumen (arrow) of the true aneurysm measured 3 × 4 cm. The TIA occurred because of the multiple sources of emboli and the carotid stenosis. Oral anticoagulation was prescribed.