scholarly journals A Fatal Masquerade in Pneumonia: Ruptured Thoracic Aortic Aneurysm

2021 ◽  
Author(s):  
Ching-Han Liu ◽  
Shih-Chung Huang ◽  
Ching-Tsai Hsu
Keyword(s):  
Computed Tomography ◽  
Aortic Aneurysm ◽  
Nosocomial Pneumonia ◽  
Thoracic Aortic Aneurysm ◽  
Adequate Treatment ◽  
Emergent Surgery

we described an 87-year-old man who presented with fever and hemoptysis. Nosocomial pneumonia was initially impressed. However, the patient has worsening hemoptysis despite defervescence. Computed tomography of chest disclosed ruptured thoracic aortic aneurysm. Emergent surgery was then commenced for adequate treatment.

scholarly journals Self-navigated 3D whole-heart MRA for non-enhanced surveillance of thoracic aortic dilation: a comparison to CTA

2021 ◽  
Vol 22 (Supplement_1) ◽  
Author(s):  
P Poskaite ◽  
M Pamminger ◽  
C Kranewitter ◽  
C Kremser ◽  
M Reindl ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Image Quality ◽  
Aortic Aneurysm ◽  
Thoracic Aortic Aneurysm ◽  
Aortic Dilation ◽  
Subjective Image Quality ◽  
Contrast Enhanced ◽  
Whole Heart ◽  
Enhanced Computed Tomography ◽  
Contrast Enhanced Computed Tomography

Abstract Funding Acknowledgements Type of funding sources: None. Background The natural history of thoracic aortic aneurysm (TAA) is one of progressive expansion. Asymptomatic patients who do not meet criteria for repair require conservative management including ongoing aneurysm surveillance, mostly carried out by contrast-enhanced computed tomography angiography (CTA). Purpose To prospectively compare image quality and reliability of a prototype non-contrast, self-navigated 3D whole-heart magnetic resonance angiography (MRA) with contrast-enhanced computed tomography angiography (CTA) for sizing of thoracic aortic aneurysm (TAA). Methods Self-navigated 3D whole-heart 1.5 T MRA was performed in 20 patients (aged 67 ± 8.6 years, 75% male) for sizing of TAA; a subgroup of 18 (90%) patients underwent additional contrast-enhanced CTA on the same day. Subjective image quality was scored according to a 4-point Likert scale and ratings between observers were compared by Cohen’s Kappa statistics. Continuous MRA and CTA measurements were analyzed with regression and Bland-Altman analysis. Results Overall subjective image quality as rated by two observers was 1 [interquartile range (IQR) 1-2] for self-navigated MRA and 1.5 [IQR 1-2] for CTA (p = 0.717). For MRA a perfect inter-observer agreement was found for presence of artefacts and subjective image sharpness (κ=1). Subjective signal inhomogeneity correlated highly with objectively quantified inhomogeneity of the blood pool signal (r = 0.78-0.824, all p <0.0001). Maximum diameters of TAA as measured by self-navigated MRA and CTA showed excellent correlation (r = 0.997, p < 0.0001) without significant inter-method bias (bias -0.0278, lower and upper limit of agreement -0.74 and 0.68, p = 0.749). Inter- and intraobserver correlation of aortic aneurysm as measured by MRA was excellent (r = 0.963 and 0.967, respectively) without significant bias (all p ≤ 0.05). Conclusion Self-navigated 3D whole-heart MRA enables reliable contrast- and radiation free aortic dilation surveillance without significant difference to standardized CTA while providing predictable acquisition time and by offering excellent image quality. Abstract Figure.

scholarly journals Perioperative management for the emergent surgery of the thoracic aortic aneurysm. Experience with 26 patients.

1989 ◽  
Vol 9 (4) ◽  
pp. 349-355
Author(s):  
Makoto HASEGAWA ◽  
Riichirou CHUUMA ◽  
Yuukou KIICHI ◽  
Yoshio HORIKAWA ◽  
Yoshie KIMURA ◽  
...  
Keyword(s):  
Aortic Aneurysm ◽  
Thoracic Aortic Aneurysm ◽  
Perioperative Management ◽  
Emergent Surgery

Double-locus lymphoplasmacytic aortitis

2017 ◽  
Vol 26 (3) ◽  
pp. 231-233
Author(s):  
Szabolcs Miskolczi ◽  
Mary N Sheppard ◽  
Gábor Bogáts ◽  
Laszlo Göbölös
Keyword(s):  
Computed Tomography ◽  
Aortic Aneurysm ◽  
Thoracic Aortic Aneurysm ◽  
Incidental Finding ◽  
Intramural Hematoma ◽  
Acute Aortic Syndrome ◽  
Immunoglobulin G4 ◽  
Thoracic Computed Tomography ◽  
Systemic Pathology ◽  
Work Up

Thoracic aortic aneurysm is an indication for major cardiovascular operative procedures. The etiology is usually hypertension and/or atherosclerotic disease; reaching a certain diameter often results in acute aortic syndrome. Immunoglobulin G4-related aortitis, characterized by lymphoplasmacytic vascular tunica media induration without well-defined underlying infectious or autoimmune systemic causes, is uncommon. Histological similarity to immunoglobulin G4 disease in other organs suggests that this aortitis might be a manifestation of systemic pathology. We describe a case of double-locus lymphoplasmacytic aortitis in a 72-year-old man who had the incidental finding of intramural hematoma on elective thoracic computed tomography as part of a respiratory work-up.

scholarly journals Symptoms Matter: A Symptomatic but Radiographically Elusive Ascending Aortic Dissection

2018 ◽  
Vol 28 (01) ◽  
pp. 031-033 ◽  
Author(s):  
Dimitra Papanikolaou ◽  
Mohammad Zafar ◽  
Maryam Tanweer ◽  
Mahnoor Imran ◽  
Mohamed Abdelbaky ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Chest Pain ◽  
Aortic Aneurysm ◽  
Thoracic Aortic Aneurysm ◽  
Similar Case ◽  
Ascending Aortic Aneurysm ◽  
History Of ◽  
Hemiarch Replacement ◽  
Ascending Aortic Diameter ◽  
Aortic Size

AbstractSymptoms attributable to a thoracic aortic aneurysm (TAA) are a separate indication for prophylactic repair, irrespective of aortic size. We present the case of a 56-year-old female with a history of a thoracic ascending aortic aneurysm (TAAA) and four other heart and arch vessel abnormalities who presented to us with chest pain radiating to her back. Computed Tomography and echocardiography showed no evidence of a dissection and revealed a maximal ascending aortic diameter of 4.2 cm. The patient subsequently underwent root-sparing ascending aortic and hemiarch replacement due to her threatening symptomatology. A focal dissection was discovered intraoperatively, resembling a similar case previously reported by our team.

scholarly journals Impending rupture of a chronic contained abdominal aortic aneurysm with a 14-day history

2021 ◽  
Author(s):  
TAKAYUKI YAMADA ◽  
Susumu Ohwada ◽  
Kenzo Okauchi ◽  
Yutaka Hasegawa
Keyword(s):  
Computed Tomography ◽  
Low Back Pain ◽  
Abdominal Aortic Aneurysm ◽  
Back Pain ◽  
Aortic Aneurysm ◽  
Hypovolemic Shock ◽  
Low Back ◽  
Impending Rupture ◽  
Abdominal Aortic ◽  
Emergent Surgery

A 73-year-old man reported left low back pain worsening since 2 weeks. Ten days prior, he felt indefinable anxiety, which abated, but the back pain persisted. His diaphoretic and vasoconstrictive hands suggested hypovolemic shock. Emergency computed tomography revealed impending rupture of an abdominal aortic aneurysm. Emergent surgery saved his life.

Three-dimensional computed tomography of thoracic aortic aneurysm

2003 ◽  
Vol 76 (2) ◽  
pp. 627
Author(s):  
Hiroshi Imagawa ◽  
Kanji Kawachi ◽  
Yoshihiro Hamada ◽  
Yoshitsugu Nakamura ◽  
Nobuo Tsunooka
Keyword(s):  
Computed Tomography ◽  
Aortic Aneurysm ◽  
Thoracic Aortic Aneurysm ◽  
Three Dimensional

Total endovascular repair of a mycotic thoracic aortic aneurysm in a patient with an aberrant right subclavian artery

2020 ◽  
Author(s):  
Kosuke Nakamae ◽  
Takashi Azuma ◽  
Yoshihiko Yokoi ◽  
Hiroshi Niinami
Keyword(s):  
Computed Tomography ◽  
Aortic Aneurysm ◽  
Subclavian Artery ◽  
Endovascular Repair ◽  
Thoracic Aortic Aneurysm ◽  
Aortic Aneurysms ◽  
Aberrant Right Subclavian Artery ◽  
Anatomical Feature ◽  
Thoracic Aortic Aneurysms ◽  
Arterial Anomaly

Abstract An aberrant right subclavian artery (ARSA) is a rare arterial anomaly. Although a few cases of total endovascular repair for the ARSA aneurysm have been previously reported, anatomical limitations and the possibility of endoleaks remained. In this case, we created 4 holes on the stent graft for each cervical branch, with reference to the preoperative computed tomography findings. This approach might enable us to repair all types of thoracic aortic aneurysms with ARSA with each anatomical feature.

Emergent surgery for 3 aged patients who refused elective operation for thoracic aortic aneurysm

2003 ◽  
Vol 51 (9) ◽  
pp. 438-441
Author(s):  
Yoshito Kawachi ◽  
Atsuhiro Nakashima ◽  
Yoshihiro Toshima ◽  
Tomokazu Kosuga ◽  
Kenichi Imasaka ◽  
...  
Keyword(s):  
Aortic Aneurysm ◽  
Thoracic Aortic Aneurysm ◽  
Aged Patients ◽  
Elective Operation ◽  
Emergent Surgery
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