Postoperative pseudoaneurysm of ascending aorta: role of ultrafast computed tomography imaging

A 34-year-old woman, who had undergone a thoracic aortic aneurysmectomy and replacement with a prosthetic tube graft several months previously, presented with a pseudoaneurysm arising from the proximal anastomotic site. This pseudoaneurysm was studied with contrast-enhanced ultrasfast computed tomography. The exact location of the suture dehiscence was located by the presence of a contrast jet flow through the aortic wall. This case shows the feasibility of demonstrating blood flow at the entry site of a pseudoaneurysm with ultrafast computed tomography which may avoid conventional angiography.