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[Aortic aneurysm misinterpreted as pulmonary tumor].

P A Naess1, S Svane

  • 1Kirurgisk avdeling, Buskerud sentralsykehus, Drammen.

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|August 30, 1992
PubMed
Summary

Atherosclerotic saccular aneurysms of the descending aorta can mimic lung neoplasms, posing diagnostic challenges. Advanced imaging may not prevent misdiagnosis before surgical exploration.

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Area of Science:

  • Cardiovascular Surgery
  • Thoracic Surgery
  • Diagnostic Imaging

Background:

  • Atherosclerotic saccular aneurysms are rare vascular conditions.
  • Descending aortic aneurysms can present with atypical symptoms.
  • Accurate diagnosis is crucial for appropriate patient management.

Observation:

  • Two cases presented with descending aortic aneurysms mimicking left-sided lung neoplasms.
  • Patients underwent thoracotomy due to suspected malignancy.
  • Diagnostic difficulties persisted despite advanced imaging techniques.

Findings:

  • Saccular aneurysms of the descending aorta can be mistaken for thoracic tumors.
  • Thoracotomy was performed in both cases before the correct diagnosis was established.
  • Diagnostic challenges highlight the need for increased awareness of vascular mimics.

Implications:

  • Enhanced vigilance is required when evaluating patients with suspected lung neoplasms.
  • Consideration of vascular pathology is essential in differential diagnosis.
  • Improved diagnostic strategies may prevent unnecessary surgical interventions for aortic aneurysms.

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