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Aorta & arterial disease

"A 40-year-old man was admitted for atypical chest pain and...a left anterior paracardiac mass"

"A 67-year-old woman presented with clinical evidence of expansion of an aortic aneurysm..."

Clinical picture: ipsilateral atherosclerotic and fibromuscular renal artery stenosis.

"A 53-year-old man with a family history of premature atherosclerosis, borderline hypercholesterolemia, and a 15-pack-year history of cigarette smoking was seen for intermittent claudication, which had been present for six months."

"A 9-month-old previously healthy girl presented to the emergency room in congestive heart failure."

"An 18-year-old cyclist was referred to the laboratory for unexplained pain in his left lower limb during exercise."

"A cross-sectional computed tomographic scan of the abdomen of an 85-year-old man..."

"French immigration physicians found high blood pressure and heart murmur."

"A 45-year-old man presented with acute onset of claudication of the lower limbs and abdominal pain."

"A 59-year-old woman presented with exertional dyspnea this past year."

"A 76-year-old man with a three-day history of crampy abdominal pain presented to the hospital with melena and a near-syncopal episode."

"An 85-year-old man was brought to the emergency room after two hours of excruciating abdominal pain, nausea, and vomiting."

"A 77-year-old woman with a history of hypertension and an abdominal aortic aneurysm presented with acute upper back discomfort."

"A 32-year-old man presented with a five-day history of nonpruritic, copper-colored palmoplantar macules and papules..."

A 49-year-old woman from Italy with a history of Takayasu's arteritis presented with worsening hypertension and symptoms consistent with mesenteric ischemia.

"A 54-year-old white woman was referred for cardiac consultation because of increased dyspnea with exertion and leg pain."

"The patient was an 80-year-old woman who presented to her local hospital with left-sided chest pain."

Images in cardiovascular medicine. Truncus arteriosus and double aortic arch.

"A previously healthy 6-month-old boy suddenly collapsed at home, requiring cardiopulmonary resuscitation."

Images in cardiovascular medicine. Fulminant Clostridium septicum aortitis.

"A computed tomographic scan of a 73-year-old man with acute epigastric pain and abdominal distention shows gas in the portal venous system (arrows)."

"A73-year-old man was admitted to the hospital because of severe back pain."

"A 7-year-old girl presented with severe dyspnea and pneumonia..."

"A 65-year-old woman was referred to the vascular laboratory after coronary angiography and stent insertion via an 8F right femoral artery sheath."

On echocardiography, "the aorta did not connect to the left ventricle" and the superior aspect of the ventricular septum was "prominent."

"A 57-year-old woman was admitted because of ischemia of the feet"

"A 62-year-old man presented with staphylococcal endocarditis on a bicuspid aortic valve."

Massive aortic root dilatation with aortic regurgitation in a child.

"A 42-year-old man with a history of non-insulin-dependent diabetes presented with acute right-flank pain."

Mesenteric artery ischemia.

"A 57-year-old man with a history of a dissecting aortic aneurysm 4 months previously was referred for magnetic resonance imaging."

Excessive bleeding in an old man with an aortic aneurysm.

"A 73-year-old woman with a history of high blood pressure and hypercholesterolemia developed medically uncontrolled hypertension."

"A dissecting aneurysm of the ascending segment of the thoracic aorta was diagnosed by two-dimensional transesophageal echocardiography."

"57-year-old man with no right femoral pulse."

"A 30-year-old farmer was referred for evaluation of a bicuspid aortic valve."

"An 87-year-old woman underwent placement of a permanent pacemaker for recurrent near-syncope and sick sinus syndrome."

"A 37-year-old white man with a past medical history of mental retardation, hypertension, and insulin-dependent diabetes mellitus...developed ischemia in the right lower extremity."

"The patient was a 12-year-old boy who was born with a coarctation of the thoracic aorta."

"A48-year-old previously healthy woman was admitted with a 4-month history of acute pain between the shoulder blades..."

"A38-year-old black man with a history of hypertension was admitted with a sudden onset of severe retrosternal chest pain radiating to his back."

Coarctation of the Aorta.

"A36-year-old male psychiatric nurse was stabbed in the back with a knife by a patient suffering from acute psychosis."

"A 48-year-old woman was admitted to our medical intensive care unit with sudden epigastric pain radiating toward both shoulders."

"Physical examination revealed an ejection systolic murmur at the left sternal edge."

67-year-old alcoholic admitted for dyspnea.

"A 9-year-old girl had hypertension in her upper arms, bilateral delay in her femoral pulse, and an abdominal bruit on physical examination."

"A 57-year-old man had a car accident resulting in multiple organ trauma..."

Flash pulmonary edema in a 68-year-old man with coronary artery disease.

45-year-old motor accident victim suffered injury of his thoracic aorta.

"A 68-year-old woman was admitted to the emergency room with sudden left hemiparesis."

"Lesions typical of atheroembolism are apparent on the feet (Panel A) of a 65-year-old man who had undergone left heart catheterization through the femoral approach four weeks earlier."

"A 62-year-old man was admitted to the hospital because of myocardial infarction..."

"A 41-year-old woman was first admitted in August 1992 because of a persistent fever of 102.2°F and chest pain."

"A 47-year-old white man with documented Marfan syndrome and no prior symptomatology referable to aortic dissection had elective high-resolution MRI of the aorta for an unrelated research project."

"A 60-year-old man without cardiac history underwent angiography to assess the severity of bilateral carotid artery stenosis."

"A 33-year-old white woman with Takayasu’s arteritis (nonspecific arteritis) diagnosed 14 years earlier developed subacute dyspnea and hemoptysis."

Sinus of Valsalva Aneurysm With Rupture Into the Interventricular Septum and Left Ventricular Cavity

"A65-year-old woman complained of nocturnal dyspnea, a period of stabbing pain between the shoulder blades, and swollen ankles that had persisted for 3 days. "

"A 39-year-old man with a 22-year history of smoking one to two packs of cigarettes per day was referred to our hyperbaric facility because of an ulcer on the tip of the third finger..."

"A 64-year-old woman with a history of coronary artery bypass graft surgery 2 years earlier presented with a bulging mass on the anterior chest wall 2 weeks after minor chest trauma."

"A 58-year-old man presented to hospital with atypical chest pain, chills, and fever."

"...53-year-old man with diffuse atherosclerosis and a large ascending aortic thrombus..."

"Symptoms of intermittent claudication and a painful ulceration of the right heel developed in a 50-year-old woman who smoked one pack of cigarettes per day and had diet-controlled diabetes mellitus."

76-year-old man presents with unstable angina and a pulsating abdominal mass.

"A 73-year-old woman who had been losing weight progressively (-6 kg) over a period of 6 months came to our hospital after experiencing growing abdominal pain for 2 weeks."

"Abdominal arteriography was performed in a 21-year-old drug abuser who presented with rapidly progressive renal failure."

"A 20-year-old man presented with a history of acute-onset left-sided chest pain that radiated to the left shoulder and arm."

55-year-old man with acute pain and pallor of the left foot.

"36-year-old male patient, at the age of 22 years, had had painless scalp swelling due to multiple aneurysms of the left temporal artery."

"A Dacron prosthetic graft was sutured to a balloon-expandable metallic stent and inserted under local anesthesia through a right femoral-artery cutdown in a 70-year-old woman with an enlarging, tender 5.6-cm abdominal aortic aneurysm."

78-year-old man has an asymptomatic abdominal aortic aneurysm.

Platypnea-Orthodeoxia in a 67-year-old woman.

54-year old woman has chest pain years after repair of an aortic coarctation.

"A 74-year-old woman was admitted with a 1-month history of fever, malaise, cough, and anorexia."

59-year-old man with syphilis and heart failure.

Edited by Donald L Vine MD

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