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CT aortogram showing marked fusiform dilation involving sino tubular junction, ascending aorta, proximal aortic arch measuring about 76 × 80 mm (AP × RL) distal aspect measures about 84 × 98 mm (AP × RL).
Source publication
Introduction:
Ascending aortic aneurysm is the second most common aortic aneurysm to abdominal aortic aneurysm. Most ascending aortic aneurysm is diagnosed in sixth or seventh decade of life. Majority of patients of ascending aortic aneurysm do not have any clinical manifestations.
Case presentation:
45year old female patient presented with Dysp...
Context in source publication
Context 1
... Valve, Syphilis, Turner Syndrome, Aorto Arteritis, Aortic Dis- section, Trauma and HIV. Chest XRAY revealed Cardiomegaly and Ascending aorta aneurysm (Fig. 1). 2D Echocardiography apical four chamber view shows dilated Left Ventricle and ascending aor- tic aneurysm. Parasternal long axis shows gross ascending aortic aneurysm ( Fig. 2A and B (Fig. 3A and B). Cardiac MRI revealed a dilated Left Ven- tricle and ascending aortic aneursym (Fig. 4). Patient was advised surgical management but patient and their relatives did not give consent for surgery. Patient was managed conservatively with anti failure medications. Patient improved symptomatically, and is on regular follow up since 2 years ...
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Citations
... TEE, contrast enhanced CT and magnetic resonance (MR) angiography have nowadays become commonly used imaging modalities in order to confirm of diagnosis of AAA and precise its dimensions. Among them, contrast enhanced CT scan (particularly multidetector CT mode) is the most popular radiological modality in the assessment of an AAA, as CT provides the best quality method for a detailed analysis of the aneurysmal morphology [5] . ...
... Giant AAA is defined as an aneurysm with maximal diameter greater than 10 cm [8] . Surgical management of a giant AAA is challenging since it poses some complication risks such as bleeding, end organ ischemia, underlying disease and staged repairs [5,9,10] . During the operation, performing median sternotomy may lead to aortic injury since the aneurysmal wall is very close to sternum. ...
Giant ascending aortic aneurysm is a rare condition. In this paper, we present an uncommon case of giant ascending aortic aneurysm with a maximal diameter of 14 cm in a 77-year-old woman presenting with unusual symptoms. The patient underwent a successful surgery involving ascending aortic replacement, and was discharged without any complication. After discharge, she was followed regularly and no major problem was observed in her control visits. To the best of our knowledge, our case is the largest ascending aortic aneurysm reported to date in the existing literature.
Highlights
•Ascending TAA tend to be asymptomatic and are not rare, even in young individuals.
•Consider Marfan, Ehlers Danlos, Loeys-Dietz, Turner, bicuspid aortic valve, or tertiary syphilis.
•Familial thoracic aortic syndrome is a rare autosomal dominant cause.
•All patients with a diastolic heart murmur should be investigated with TTE.
