Enormous ascending aortic pseudoaneurysm - post aortic valve replacement

Case contributed by Maxime St-Amant

Presentation

Post-operative aortic valve replacement surgery follow up.

Patient Data

Age: 75 years
Gender: Male

Sternotomy for AVR surgery. Bilateral hilar prominence; pulmonary arteries dilatation? On the lateral view, possibility of an enormous aortic pseudoaneurysm vs enormous pulmonary trunk. Those findings weren't present in previous chest x-rays, before the surgery.

Cardiac MRI confirms the presence of a voluminous aortic root pseudoaneurysm, in this post-op. patient. There is aneurysmal dilatation of the ascending aorta. Bilateral pleural effusions.

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