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Transient Aortic Vasospasm Case Report-The "Triple Adrenal" Sign
Adam Katz1, Alexa DeMaio2,3, Peter Frech2,3
1Spencer Fox Eccles School of Medicine, University of Utah, Salt Lake City, Utah, USA, utah.edu.
Case Reports in Radiology
|April 15, 2026
Summary
Arterial vasospasm, though rare in the aorta, can cause severe outcomes. Prompt recognition and management, aided by the "triple adrenal" sign, are crucial for favorable clinical results.
Area of Science:
- Radiology
- Vascular Medicine
- Cardiology
Background:
- Arterial vasospasm is a significant clinical condition with potential for severe morbidity and mortality.
- While commonly affecting coronary and cerebral arteries, vasospasm can occur in any artery, including the aorta.
- Aortic vasospasm is rare and can be diagnostically challenging, necessitating awareness among radiologists.
Purpose of the Study:
- To report a case of aortic vasospasm with a favorable outcome.
- To introduce a novel imaging sign, the "triple adrenal" sign, for identifying aortic vasospasm.
- To emphasize the importance of prompt diagnosis and management of aortic vasospasm.
Main Methods:
- Case report detailing the clinical presentation, diagnosis, and management of aortic vasospasm.
- Radiological imaging analysis to identify characteristic signs.
- Review of precipitating agents and conditions associated with aortic vasospasm.
Main Results:
- A favorable clinical outcome was achieved through prompt recognition and management.
- The "triple adrenal" sign was identified as a useful diagnostic aid.
- Awareness of precipitating factors and early intervention are key.
Conclusions:
- Radiologists must be aware of aortic vasospasm and its potential triggers to reduce adverse outcomes.
- The "triple adrenal" sign offers a memorable aid for diagnosis.
- Timely reperfusion is critical in managing ischemic events like aortic vasospasm to prevent irreversible damage.
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