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[Bronchogenic cyst mimicking traumatic aortic aneurysm]

N al-Aylé1, D Guilmet

  • 1Service de chirurgie cardiovasculaire, CMC Foch, Suresnes.

Archives Des Maladies Du Coeur Et Des Vaisseaux
|March 7, 1998
PubMed
Summary

Aortic isthmus lesions suspected via imaging may be misdiagnosed. Angiography is recommended for definitive diagnosis, even with suggestive 3D scanner results, to prevent diagnostic errors.

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Area of Science:

  • Cardiovascular Surgery
  • Thoracic Surgery
  • Diagnostic Imaging

Background:

  • A 56-year-old woman presented with a suspected false aneurysm of the aortic isthmus following a prior road traffic accident.
  • Initial diagnosis was based on chest X-ray findings, subsequently supported by 3D scanner imaging.

Observation:

  • Surgical exploration revealed the aortic isthmus lesion was not a false aneurysm but a bronchogenic cyst.
  • This highlights a significant diagnostic discrepancy between imaging and surgical findings.

Findings:

  • The case underscores the potential for misinterpreting imaging studies, specifically 3D scanner data, in diagnosing aortic isthmus pathologies.
  • A bronchogenic cyst mimicked the appearance of a false aneurysm on advanced imaging modalities.

Implications:

  • The findings emphasize the critical role of angiography in the definitive diagnosis of aortic isthmus lesions.
  • Clinicians should consider angiography for aortic isthmus lesions, irrespective of the apparent conclusiveness of CT or 3D scanner results, to avoid surgical misadventures.

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