JACC. Case reports · 2026
Giant Ascending Aortic Aneurysm With Atypical Presentation as Abdominal Pain.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Moreno Dirzo Juan P, Castillo Esquivel Fernanda M, Guatemala Moreno Liliana A, Mendoza Adolfo Chávez, Ivey Miranda Juan B, Mendoza Zavala Genaro H, Serrano Antonio Magaña
Аннотация
BACKGROUND: Ascending aortic aneurysms typically present with chest or back pain; however, atypical presentations may delay diagnosis.
CASE SUMMARY: A 58-year-old woman presented with acute lower abdominal pain and diaphoresis. Hypertension and a new diastolic murmur prompted cardiology evaluation, revealing clinical signs of chronic severe aortic regurgitation. Imaging confirmed a giant ascending aortic aneurysm (89 × 83 mm) with severe aortic regurgitation.
DISCUSSION: This case emphasizes atypical presentations of thoracic aortic disease, compensated high-risk anatomy, and timely referral to specialized aortic centers to facilitate definitive surgical care despite temporary institutional capacity constraints.
TAKE-HOME MESSAGES: Giant ascending aortic aneurysms may remain clinically compensated despite high-risk anatomy and present atypically, requiring high clinical suspicion and early multimodality imaging. When definitive repair is delayed by system-level constraints, structured interim stabilization, surveillance, and referral coordination are critical.
CASE SUMMARY: A 58-year-old woman presented with acute lower abdominal pain and diaphoresis. Hypertension and a new diastolic murmur prompted cardiology evaluation, revealing clinical signs of chronic severe aortic regurgitation. Imaging confirmed a giant ascending aortic aneurysm (89 × 83 mm) with severe aortic regurgitation.
DISCUSSION: This case emphasizes atypical presentations of thoracic aortic disease, compensated high-risk anatomy, and timely referral to specialized aortic centers to facilitate definitive surgical care despite temporary institutional capacity constraints.
TAKE-HOME MESSAGES: Giant ascending aortic aneurysms may remain clinically compensated despite high-risk anatomy and present atypically, requiring high clinical suspicion and early multimodality imaging. When definitive repair is delayed by system-level constraints, structured interim stabilization, surveillance, and referral coordination are critical.