Leaking Saccular Aortic Arch Aneurysm

A 71-year-old man complained of central chest pain radiating to his back and neck and both arms. Investigations for ischemic heart disease were negative. Chest x-ray showed a soft tissue density in the aortopulmonary area. CT scan revealed a saccular aneurysm arising from the inferolateral aspect of the mid-transverse arch of the aorta, measuring a maximum diameter of 7 cm (Figure 1). The presence of fluid in …