Brachiocephalic artery pseudoaneurysm

Case contributed by Dr Matthew Tam

Presentation

Sharp epigastric pain radiating to the right neck lasting 30 minutes. Radial-radial delay. Mildly elevated D-Dimer.

Patient Data

Age: 70 years
Gender: Male

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines

CT thoracic aorta angiogram reveals a pseudoaneurysm of the brachiocephalic trunk. Enhancing lumen measures 12 mm diameter in its long axis. A narrow neck and surrounding non-enhancing thrombus measuring 24mm x 23 mm. The rest of the neck vessels are otherwise patent.

Case Discussion

This patient had a previous history of type A aortic dissection and repair in 2010.

CT thoracic aorta angiogram reveals a pseudoaneurysm of the brachiocephalic trunk. Enhancing lumen measures 12 mm diameter in its long axis. A narrow neck and surrounding non-enhancing thrombus measuring 24mm x 23 mm. The rest of the neck vessels are otherwise patent.

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