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Pseudoaneurysms of the Ascending Aorta Following Coronary Artery Bypass Surgery, Presenting as Stroke
Neda Toofaninnejad1, Ali Hosseinsabet1, Sahar Asl Fallah2
1Department of Echocardiography, Tehran Heart Center, Cardiovascular Disease Research Institute, Tehran University of Medical Sciences, Tehran, Iran.
Insights
Transthoracic echocardiography (TEE) and multi-detector computed tomography (MDCT) revealed two complex pseudoaneurysms in the ascending aorta. These findings included an intramural hematoma and a large thrombus protruding into the aortic lumen.
Area of Science:
- Cardiovascular Imaging
- Thoracic Surgery
- Diagnostic Radiology
Background:
- Ascending aortic aneurysms and dissections are critical cardiovascular emergencies.
- Accurate imaging is essential for diagnosis and surgical planning.
Abstract:
TEE simultaneous orthogonal long axis and short axis views and MDCT of ascending aorta sagittal view demonstrate two complicated pseudoaneurysm (*) in anterior wall of ascending aorta and intramural hematoma (open arrow) extending proximally to aortic root and a large thrombus (solid arrow) protruding into the lumen of ascending aorta.
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