Multimodality Imaging in Giant Ascending Aortic Aneurysm
- Affiliations
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- 1Cardiology Department, Poona Hospital and Research Centre, Pune, India. pritam_ibb@yahoo.co.in
- 2Radiology Department, PDS Scan, Poona Hospital and Research Centre, Pune, India.
- KMID: 2442750
- DOI: http://doi.org/10.4250/jcvi.2019.27.e1
Abstract
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Figure
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Figure 1 A & B - Transthoracic echocardiography – Extra cardiac mass compressing left atrium. C - Chest scanogram - lobular mediastinal widening with silhouetting of the ascending aorta. D - Volume rendered CT angiogram - Small patent lumen (600 HU) color-coded red and large peripheral thrombus (30 to 60 HU) color-coded blue. E & F - CT angiography - giant partially thrombosed aneurysm (80 × 107× 140 mm) arising from the posterior wall of the ascending aorta sinotubular junction. G - CT angiography - severely compressed patent SVC draping along right lateral aspect of aneurysm. H - Pulmonary arterial phase of CT Angiography - severely compressed Right Pulmonary artery. Mildly dilated opacified left Pulmonary artery. I - Aortography - saccular aneurysm of ascending aorta. J - Cardiac MRI (FIESTA) sagittal - variegated hypointense thrombus with severe inferior compression of the atria. LA: left atrium, LPA: left pulmonary artery, RA: right atrium, RPA: right pulmonary artery, SVC: superior vena cava.
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