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Updated: Feb 9, 2026
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Quantitative Micro-CT Analysis of Aortopathy in a Mouse Model of β-aminopropionitrile-induced Aortic Aneurysm and Dissection
Published on: July 16, 2018
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The Asymptomatic Dissecting Aortic Aneurysm: An Incidental Finding on CT
Ateeque Ahmed Khan1, Mahnoor Hafeez1
1Department of Radiology, Civil Hospital and Dow University of Health Sciences (DUHS), Karachi.
Summary
This case report details a 65-year-old male with a solitary pulmonary nodule and a Stanford type B descending thoracic aortic dissecting aneurysm. The rare, asymptomatic aortic condition impacted renal and splanchnic circulation.
Area of Science:
- Cardiology
- Thoracic Surgery
- Pulmonology
Background:
- A 65-year-old male with hypertension and chronic smoking history presented with respiratory symptoms.
- Initial chest radiograph revealed a left apical solitary pulmonary nodule (SPN) and descending thoracic aortic aneurysm.
Observation:
- Contrast-enhanced computed tomography (CECT) confirmed a malignant pulmonary lesion.
- CECT unexpectedly identified a Stanford type B descending thoracic aortic dissecting aneurysm with intramural hematoma.
Findings:
- The dissecting aneurysm compromised renal and splanchnic blood flow.
- This presentation of an asymptomatic dissecting aortic aneurysm is exceptionally rare, with fewer than 15 reported cases.
Implications:
- Highlights the importance of thorough imaging interpretation for incidental findings.
- Underscores the potential for co-existing, life-threatening conditions in patients with pulmonary nodules.
- Emphasizes the rarity and diagnostic challenge of asymptomatic Stanford type B aortic dissection.
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