Not a Simple Aneurysm

50-year-old woman with end-stage renal failure on haemodialysis presented with chest pain. She was recently treated with methicillin-resistant Staphylococcus aureus bacteraemia secondary to tunnel line infection. Transthoracic echocardiogram demonstrated a linear structure in the descending thoracic aorta suspicion for an aortic dissection (Figure 1). Computed tomography (CT) thoracic aorta (Figure 2) showed a large descending thoracic aortic aneurysmat the T7/T8 level. Because of her comorbidities, a stent was deployed in view of high risk of perforation and she was placed on prolonged antibiotics.Post-stenting CT scan (Figure 3) a few weeks later showed a patent stent and the aneurysm appeared successfully excluded.