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CC BY 4.0 · Aorta (Stamford) 2013; 01(04): 231-232
DOI: 10.12945/j.aorta.2013.13-042
Images in Aortic Disease
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

An Ascending Aortic Rent with a Saccular Aneurysm: Role of Multimodality Imaging

Jugal Sharma
1   Departments of Cardiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India
,
Aditya Kapoor
1   Departments of Cardiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India
,
Sudeep Kumar
1   Departments of Cardiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India
,
Saurabh Gaharwar
2   Departments of Radiodiagnosis, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India
,
Rajendra V. Phadke
2   Departments of Radiodiagnosis, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India
› Author Affiliations
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Publication History

18 August 2013

20 September 2013

Publication Date:
28 September 2018 (online)

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Abstract

We report an unusual case of 26 year old previously healthy man who presented with exertional breathlessness of 6 months duration with clinical findings suggestive of moderate aortic regurgitation (AR). There was no previous history suggestive of trauma or chest pain. Trans-thoracic and trans-esophageal echocardiography showed an ascending aortic aneurysm compressing the Left atrium and presence of moderate AR. A 64 slice cardiac CT with intraaortic endoscopic reconstruction further clarified the anatomy. This revealed an ascending aortic aneurysm, extending into the middle mediastinum with a clear rent in the ascending aorta, communicating with the aneurysm. More importantly, CT imaging also confirmed the absence of a dissection flap. The case demonstrates the usefulness of multimodality imaging in defining the morpho-anatomic features in such unusual situations.

Key Words

Ascending aorta - Saccular aneurysm - Multimodality imaging