ANEURYSMS

Posted By Wolfson on July 15, 1998 at 13:37:51:







A 20 year-old male food service worker presented with traumatic back pain; an Xray showed mediastinal widening.  Further work-up (MRI, cath) showed a large descending thoracic aortic aneurysm, extensive abdominal aortic aneurysm, a left main coronary artery aneurysm, a small aneruysm of a lateral branch of the circumflex, and a small aneurysm of the proximal right coronary artery including the ostium.  The mitral valve, aortic valve, aortic root and ascending aorta are normal.  We also feel this is not the typical coronary artery involvement seen in Kowasaki's.  It seems to be an idiopathic medial aortopathy and arteriopathy.  Does anyone have any experience with this?  Are there any other thoughts?