CC BY 4.0 · Aorta (Stamford) 2021; 09(03): 106-109
DOI: 10.1055/s-0041-1730005
Case Report

A Case Report of Giant Ascending Aortic Aneurysm: Role of Multimodality Imaging

Shabir H. Shah
1   Department of Adult Cardiac Surgery, King Fahad Medical City, Riyadh, Saudi Arabia
,
2   Department of Adult Cardiology, King Fahad Medical City, Riyadh, Saudi Arabia
,
Abudar A. M. Alganadi
1   Department of Adult Cardiac Surgery, King Fahad Medical City, Riyadh, Saudi Arabia
,
Halia Z. Alshehri
2   Department of Adult Cardiology, King Fahad Medical City, Riyadh, Saudi Arabia
,
Mudasir S. Mir
1   Department of Adult Cardiac Surgery, King Fahad Medical City, Riyadh, Saudi Arabia
,
Abdulaziz M. Alshammari
1   Department of Adult Cardiac Surgery, King Fahad Medical City, Riyadh, Saudi Arabia
› Institutsangaben
Funding None.

Abstract

Giant ascending aortic aneurysm (AscAA >10 cm) is an uncommon entity with a variable presentation. The size of the aneurysm, rapid expansion, and calcification are associated with an increased risk of rupture. Atherosclerosis is the most common etiology of aortic aneurysm in the elderly population. Multimodality imaging can be wisely used for diagnosis, risk stratification, and follow-up. We herein report a case of successfully repaired giant calcified AscAA with a maximum diameter of 10 cm. We also provide a brief discussion on the role of multimodality imaging.



Publikationsverlauf

Eingereicht: 30. Mai 2020

Angenommen: 25. Februar 2021

Artikel online veröffentlicht:
12. Oktober 2021

© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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  • References

  • 1 Kara I, Erkin A, Erkengel MI, Asil K. Management of a complicated redo giant dissecting aortic aneurysm. Cardiovasc J Afr 2017; 28 (04) e6-e8
  • 2 Elefteriades JA. Natural history of thoracic aortic aneurysms: indications for surgery, and surgical versus nonsurgical risks. Ann Thorac Surg 2002; 74 (05) S1877-S1880 , discussion S1892–S1898
  • 3 Chowdhury MM, Zieliński LP, Sun JJ. et al. Editor's choice - calcification of thoracic and abdominal aneurysms is associated with mortality and morbidity. Eur J Vasc Endovasc Surg 2018; 55 (01) 101-108
  • 4 Shah P, Gupta N, Goldfarb I, Shamoon F. Giant dissecting aortic aneurysm in an asymptomatic young male. Case Rep Vasc Med 2015; 2015: 958464
  • 5 Hiratzka LF, Bakris GL, Beckman JA. et al. ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM guidelines for the diagnosis and management of patients with thoracic aortic disease: executive summary. J Am Coll Cardiol 2010; 55 (14) 1509-1544
  • 6 Zafar MA, Li Y, Rizzo JA. et al. Height alone, rather than body surface area, suffices for risk estimation in ascending aortic aneurysm. J Thorac Cardiovasc Surg 2018; 155 (05) 1938-1950
  • 7 Bicer M, Yuksel A, Kan II. The largest reported giant ascending aortic aneurysm presented with superior vena cava syndrome. Braz J Cardiovasc Surg 2020; DOI: 10.21470/1678-9741-2019-0151.
  • 8 Silveira LMVD, Tagliari AP, Costa RDD, Martins CB, Wender O. Aortic valve replacement combined with ascending aortic aneurysmectomy in a patient with sickle cell disease: a case report. Rev Bras Cir Cardiovasc 2018; 33 (02) 203-205