EURORAD ESR

Case 10388

Atheromatous aneurysm of first part of left subclavian artery

Author(s)
Saket Ballabh1, Ganesh Rajagopal1, 2, Karunakaran N1, 2, T. Mukuntharajan T1

Meenakshi Mission Hospital and Research Centre,
Department of Imaging and Interventional Radiology;
Lake Area Melur Road, Madurai, India.
Email:drsaketballabh@gmail.com
1 DMRD
2 DNB (RD)
 
Patient
female, 29 year(s)
 
 
  • Figure 1
    PA Chest X-ray

    Chest X-ray showing a large well-defined opacity in left upper zone, and shifting of the trachea to a contralateral side. Elevation of left hemidiaphragm is also noted.

     
    Area of Interest: Cardiovascular system; Imaging Technique: Digital radiography; Procedure: Diagnostic procedure; Special Focus: Aneurysms;
     
     
  • Figure 2
    CT
     

    CT-angio axial images showing large partially thrombosed saccular aneurysm in first part of subclavian artery.

     
    Area of Interest: Arteries / Aorta; Imaging Technique: CT-Angiography; Procedure: Diagnostic procedure; Special Focus: Aneurysms;

    Coronal reformated image showing aneurysm compressing the second part of left subclavian artery, collateral flow noted in axillary artery and distal branches.

     
    Area of Interest: Arteries / Aorta; Imaging Technique: CT-Angiography; Procedure: Diagnostic procedure; Special Focus: Aneurysms;

    3D reformatted volume rendering image showing aneurysm compressing the second part of left subclavian artery, collateral flow noted in axillary artery and distal branches.

     
    Area of Interest: Arteries / Aorta; Imaging Technique: Image manipulation / Reconstruction; Procedure: Computer Applications-Detection, diagnosis; Special Focus: Aneurysms;

    3D reformatted volume rendering image showing aneurysm compressing the second part of left subclavian artery, collateral flow noted in axillary artery and distal branches.

     
    Area of Interest: Arteries / Aorta; Imaging Technique: Image manipulation / Reconstruction; Procedure: Computer Applications-Detection, diagnosis; Special Focus: Aneurysms;

    3D reformatted volume rendering image showing aneurysm compressing the second part of left subclavian artery, collateral flow noted in axillary artery and distal branches.

     
    Area of Interest: Arteries / Aorta; Imaging Technique: Image manipulation / Reconstruction; Procedure: Computer Applications-Detection, diagnosis; Special Focus: Aneurysms;
     
     
  • Figure 3
    MRI
     

    Coronal MIP sequence image showing large saccular aneurysm involving first part of subclavian artery and origin of left vertebral artery, collateral flow in axillary artery and distal branches

     
    Area of Interest: Arteries / Aorta; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Aneurysms;

    Coronal gradient echo sequence image showing large partially thrombosed saccular aneurysm arising at first part of subclavian artery, collateral flow in axillary artery and distal branches

     
    Area of Interest: Arteries / Aorta; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Aneurysms;

    MIP image showing large saccular aneurysm arising at first part of subclavian artery, collateral flow in axillary artery and distal branches

     
    Area of Interest: Arteries / Aorta; Imaging Technique: MR; Procedure: Computer Applications-Detection, diagnosis; Special Focus: Aneurysms;
     
     
  • Figure 4
    Intra-operative
     

    Intra-operative photograph showing thrombus in the aneurysm

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

    Intra-operative photograph showing artificial vascular graft and thrombus in the aneurysm

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

    Thrombus

     
    Area of Interest: Haematologic; Imaging Technique: Image manipulation / Reconstruction; Procedure: Intraoperative; Special Focus: Embolism / Thrombosis;
     
     
Chest X-ray showing a large well-defined opacity in left upper zone, and shifting of the trachea to a contralateral side. Elevation of left hemidiaphragm is also noted.
 
CT-angio axial images showing large partially thrombosed saccular aneurysm in first part of subclavian artery.
 
Coronal reformated image showing aneurysm compressing the second part of left subclavian artery, collateral flow noted in axillary artery and distal branches.
 
3D reformatted volume rendering image showing aneurysm compressing the second part of left subclavian artery, collateral flow noted in axillary artery and distal branches.
 
3D reformatted volume rendering image showing aneurysm compressing the second part of left subclavian artery, collateral flow noted in axillary artery and distal branches.
 
3D reformatted volume rendering image showing aneurysm compressing the second part of left subclavian artery, collateral flow noted in axillary artery and distal branches.
 
Coronal MIP sequence image showing large saccular aneurysm involving first part of subclavian artery and origin of left vertebral artery, collateral flow in axillary artery and distal branches
 
Coronal gradient echo sequence image showing large partially thrombosed saccular aneurysm arising at first part of subclavian artery, collateral flow in axillary artery and distal branches
 
MIP image showing large saccular aneurysm arising at first part of subclavian artery, collateral flow in axillary artery and distal branches
 
Intra-operative photograph showing thrombus in the aneurysm
 
Intra-operative photograph showing artificial vascular graft and thrombus in the aneurysm
 
Thrombus
 
 
 
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