An Ascending Aortic Rent with a Saccular Aneurysm: Role of Multimodality Imaging

AORTA

article

Jugal Sharma¹  Aditya Kapoor¹  Sudeep Kumar¹  Saurabh Gaharwar²  Rajendra V. Phadke² 

[1] Departments of Cardiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences;Departments of Radiodiagnosis, Sanjay Gandhi Postgraduate Institute of Medical Sciences

关键词: Ascending aorta;    Saccular aneurysm;    Multimodality imaging;   

DOI  :  10.12945/j.aorta.2013.13-042

来源: Thieme

【 摘 要 】

We report an unusual case of 26 year old previously healthy man who presented with exertional breathlessness of 6 months duration with clinical findings suggestive of moderate aortic regurgitation (AR). There was no previous history suggestive of trauma or chest pain. Trans-thoracic and trans-esophageal echocardiography showed an ascending aortic aneurysm compressing the Left atrium and presence of moderate AR. A 64 slice cardiac CT with intraaortic endoscopic reconstruction further clarified the anatomy. This revealed an ascending aortic aneurysm, extending into the middle mediastinum with a clear rent in the ascending aorta, communicating with the aneurysm. More importantly, CT imaging also confirmed the absence of a dissection flap. The case demonstrates the usefulness of multimodality imaging in defining the morpho-anatomic features in such unusual situations.

【 授权许可】

Unknown