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Giant thoracic aneurysm with vertebral osteolysis: possible cause of hypercalcemia?

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Images in cardio-thoracic surgery

Giant thoracic aneurysm with vertebral osteolysis: possible cause

of hypercalcemia?

Thierry Carrel

*

, Verena Eigenmann, Ju

¨rg Schmidli

Department of Cardiovascular Surgery, University Hospital, CH-3010 Bern, Switzerland

Received 25 November 2008; received in revised form 21 January 2009; accepted 26 January 2009; Available online 10 March 2009

Keywords: Thoraco-abdominal aneurysm; Surgery; Hypercalcemia

A 72-year-old patient suffering from dyspnea and

dysphagia. Severely elevated level of serum calcium

(4.75 mmol/l). Abnormal chest X-ray. CT scan showed a

14 cm thoraco-abdominal aneurysm compressing LV and

stomach (

Fig. 1

a).

After aortic replacement there was normalization of

hypercalcemia which was most probably caused by

pressure-induced destruction of the vertebral body (

Fig. 1

b).

www.elsevier.com/locate/ejcts European Journal of Cardio-thoracic Surgery 35 (2009) 904

Fig. 1. CT scan demonstrates huge thoraco-abdominal aneurysm with com-pression of the stomach and the heart (a) and erosion of a vertebral body (b). * Corresponding author. Tel.: +41 31 632 23 75; fax: +41 31 632 44 43.

E-mail address:thierry.carrel@insel.ch(T. Carrel).

1010-7940/$ — see front matter # 2009 European Association for Cardio-Thoracic Surgery. Published by Elsevier B.V. All rights reserved. doi:10.1016/j.ejcts.2009.01.047

Figure

Fig. 1. CT scan demonstrates huge thoraco-abdominal aneurysm with com- com-pression of the stomach and the heart (a) and erosion of a vertebral body (b).

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