Abstract

Here In we present a rare case of Shortness of Breath caused by massive trachea deviation due to a giant penetrating atherosclerotic ulcer of the aortic arch that simulates a lung lesion. It is of clinical and educational benefit to highlight the fact that aortic arch masses can grow silently to massive sizes and create mass effect to surrounding organs.

Key words: penetrating atherosclerotic ulcer, aortic arch, shortness of breath