Ascending thoracic aortic aneurysm in an elite runner.

Mehnert-Kay, S; Mulkey, L E · Phys Sportsmed · 2001

case_report · Level V

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Abstract

A 41-year-old ultramarathon runner presented to his physician after having exercise-related chest pain that radiated down his left arm and seemed typical for myocardial ischemia. The patient had only a single risk factor. Extensive testing revealed a large thoracic aortic aneurysm. This case illustrates how the standard workup could miss this and other potentially lethal conditions in an extremely well-conditioned athlete.