case_images: PMC4817203_01
case_images: Admission AP frontal chest radiograph demonstrating extensive pulmonary oedema as well as widening of the superior mediastinum.
case_images: cvja-27-50-g001.jpg
case_images: PMC4817203_01_cvja-27-50-g001.jpg
case_images: F1
case_images: The admission chest radiograph revealed pulmonary oedema and a widened mediastinum (Fig. 1), with the lateral film confirming dilatation of the descending thoracic aorta.
case_images: Oblique sagittal MIP reconstruction shows a diffusely aneurysmal descending thoracic aorta with complex multi-level dissection flaps.
case_images: cvja-27-50-g002.jpg
case_images: PMC4817203_01_cvja-27-50-g002.jpg
case_images: F2
case_images: A computerised tomographic angiogram (CTA) showed that the descending thoracic aorta was aneurysmal throughout its course (maximum diameter 46 mm), with multiple complex dissection flaps (Fig. 2).
case_images: Volume-rendered CT reconstruction shows the aneurysmal abdominal aorta as well as aneurysmal origin of the left renal artery with focal stenosis.
case_images: cvja-27-50-g003.jpg
case_images: PMC4817203_01_cvja-27-50-g003.jpg
case_images: F3
case_images: Both renal arteries arose from the lobulated aneurysm and the left renal artery origin was noted to be aneurysmal (Fig. 3).
case_images: Mild intimal thickening with disruption of the internal elastic lamina is shown on this haematoxylin and eosin stain (200x magnification).
case_images: cvja-27-50-g004.jpg
case_images: PMC4817203_01_cvja-27-50-g004.jpg
case_images: F4
case_images: Histology of the left renal artery, as demonstrated in Fig. 4, Fig. 5 and Fig. 6, showed mucin accumulation within the intimal and medial layers with disruption of the elastic laminae.
case_images: The Elastic von Gieson stain highlights fragmentation of the elastic fibres (400x magnification).
case_images: cvja-27-51-g006.jpg
case_images: PMC4817203_01_cvja-27-51-g006.jpg
case_images: F6
case_images: Histology of the left renal artery, as demonstrated in Fig. 4, Fig. 5 and Fig. 6, showed mucin accumulation within the intimal and medial layers with disruption of the elastic laminae.