Ascending aortic pseudoaneurysm

Case contributed by Dr Dalia Ibrahim

Presentation

Chest pain following recent aortic valve replacement procedure.

Patient Data

Age: 31
Gender: Male

Large retrosternal pseudoaneursym (left antero-lateral to the ascending aorta), it measures about 9.0 x 7.0 x 9.5 cm, it's surrounded by hypo density (thrombosis) that extends via the widened sternotmoy sutures, it communicated via a narrow neck with ascending aorta with noticeable linear contrast extravasation. it compresses the ascending aorta posteriorly.

Bovine aortic arch (incidental finding).

Aortic valve prosthesis.

Annotated image

The aortic pseudoaneursym (Aneursym) is anterior to the ascending aorta (ASC),

Linear contrast extravasation from the ascending aorta into the pseudoaneursym. "Red arrows"

Case Discussion

Ascending aortic pseudoaneurysm is a rare dangerous complication after cardiovascular surgery, trauma or infective aortitis.

They may remain asymptomatic and discovered later as incidental finding yet with potential fatal risk of rupture and severe hemorrhage. 

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Case information

rID: 28638
Case created: 4th Apr 2014
Last edited: 12th Jan 2017
System: Vascular
Inclusion in quiz mode: Included

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