EURORAD ESR

Case 10361

Aneurysm of diverticulum of ductus arteriosus presented with haematemesis in adult

Author(s)
Saket Ballabh, Ganesh Rajagopal, N Karunakaran, T Mukuntharajan

Meenakshi mission Hospital and Research Centre,
Department of Imaging and Interventional Radiology;
Lake area melur road
Madurai, India;
email:drsaketballabh@gmail.com
 
Patient
male, 39 year(s)
 
 
  • Figure 1
    Chest X-ray PAveiw

    Pre-op chest X-ray PA view showing widening of mediatinum, cardiomegaly and curvilinear calcification in the region of aortic knuckle. Inhomogeneous patch in the left upper zone and obliteration of left CP angle.

     
    Area of Interest: Thorax; Imaging Technique: Conventional radiography; Procedure: Diagnostic procedure; Special Focus: Aneurysms;
     
     
  • Figure 2
    Non-contrast CT thorax
     

    Non-contrast CT image showing peripherally calcified lesion arising from the aorta.

     
    Area of Interest: Cardiovascular system; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Aneurysms;

    Non-contrast CT image showing peripheral calcified lesion and associated consolidation of lung parenchyma.

     
    Area of Interest: Cardiovascular system; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Aneurysms;

    CT-Angio image showing partially thrombosed aneurysm arising from ventral part of aorta with associated consolidation of lung parenchyma.

     
    Area of Interest: Cardiovascular system; Imaging Technique: CT-Angiography; Procedure: Contrast agent-intravenous; Special Focus: Aneurysms;

    CT-chest lung window showing cosolidation in left lung field.

     
    Area of Interest: Lung; Imaging Technique: CT-High Resolution; Procedure: Diagnostic procedure; Special Focus: Obstruction / Occlusion;
     
     
  • Figure 3
    3D Coronal reformated image
     

    3D Coronal reformated image showing peripherally calcified aneurysm arising from the ventral part of aorta at the level of the ostium of the left subclavian artery.

     
    Area of Interest: Cardiovascular system; Imaging Technique: CT-Angiography; Procedure: Contrast agent-intravenous; Special Focus: Aneurysms;

    3D Coronal reformated image showing peripherally calcified aneurysm arising from the ventral part of aorta at the level of the ostium of the left subclavian artery.

     
    Area of Interest: Cardiovascular system; Imaging Technique: CT-Angiography; Procedure: Contrast agent-intravenous; Special Focus: Aneurysms;

    Volume rendering image shows peripherally calcified aneurysm arising from the ventral part of aorta at the level of the ostium of the left subclavian artery.

     
    Area of Interest: Cardiovascular system; Imaging Technique: Image manipulation / Reconstruction; Procedure: Computer Applications-3D; Special Focus: Aneurysms;

    Volume rendering image shows peripherally calcified aneurysm arising from the ventral part of aorta at the level of the ostium of the left subclavian artery.

     
    Area of Interest: Cardiovascular system; Imaging Technique: Image manipulation / Reconstruction; Procedure: Computer Applications-3D; Special Focus: Aneurysms;
     
     
  • Figure 4
    Intra-operative picture
     

    showing aneurysm.

     
    Area of Interest: Cardiovascular system; Imaging Technique: Image manipulation / Reconstruction; Procedure: Intraoperative; Special Focus: Aneurysms;

    Intra-operative picture showing aortic opening of aneurysm.

     
    Area of Interest: Cardiovascular system; Imaging Technique: Image manipulation / Reconstruction; Procedure: Intraoperative; Special Focus: Aneurysms;

    Artificial vascular graft

     
    Area of Interest: Cardiovascular system; Imaging Technique: Image manipulation / Reconstruction; Procedure: Intraoperative; Special Focus: Grafts;
     
     
  • Figure 5
    Post-operative CT-angio volume rendering image

    Volume rendering image showing repair of aneurysm with artificial vascular graft.

     
    Area of Interest: Cardiovascular system; Imaging Technique: Image manipulation / Reconstruction; Procedure: Contrast agent-intravenous; Special Focus: Grafts;
     
     
Pre-op chest X-ray PA view showing widening of mediatinum, cardiomegaly and curvilinear calcification in the region of aortic knuckle. Inhomogeneous patch in the left upper zone and obliteration of left CP angle.
 
Non-contrast CT image showing peripherally calcified lesion arising from the aorta.
 
Non-contrast CT image showing peripheral calcified lesion and associated consolidation of lung parenchyma.
 
CT-Angio image showing partially thrombosed aneurysm arising from ventral part of aorta with associated consolidation of lung parenchyma.
 
CT-chest lung window showing cosolidation in left lung field.
 
3D Coronal reformated image showing peripherally calcified aneurysm arising from the ventral part of aorta at the level of the ostium of the left subclavian artery.
 
3D Coronal reformated image showing peripherally calcified aneurysm arising from the ventral part of aorta at the level of the ostium of the left subclavian artery.
 
Volume rendering image shows peripherally calcified aneurysm arising from the ventral part of aorta at the level of the ostium of the left subclavian artery.
 
Volume rendering image shows peripherally calcified aneurysm arising from the ventral part of aorta at the level of the ostium of the left subclavian artery.
 
showing aneurysm.
 
Intra-operative picture showing aortic opening of aneurysm.
 
Artificial vascular graft
 
Volume rendering image showing repair of aneurysm with artificial vascular graft.
 
 
 
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