EURORAD ESR

Case 14458

Coronary pseudoaneurysm mimicking a cardiac tumour

Author(s)
Giuseppe Peritore, Nicola Giunta, Pietro Giuliano, Fabrizia Terrazzino, Mario Finazzo, Alessia Pepe*, Domenico Messana, Giovanni Donato Aquaro*

ARNAS CIVICO Palermo;
*Fondazione G. Monasterio CNR-Regione Toscana,
Pisa, Italy.
Email:giuseppe.peritore@hotmail.it
 
Patient
male, 55 year(s)
 
 
  • Figure 1
    MR images of suspected right atrial mass
     

    Long axis SSFP image confirms the presence of a round-shaped mass with a central hypointense structure (arrows).

     
    Area of Interest: Cardiovascular system; Imaging Technique: MR; Procedure: Stents; Special Focus: Aneurysms;

    Short axis SSFP image confirms the presence of a round-shaped mass with a central hypointense structure (arrows).

     
    Area of Interest: Cardiovascular system; Imaging Technique: MR; Procedure: Stents; Special Focus: Aneurysms;

    In the FSE image the aspect of the hypointense structure suggest a vascular origin with probably a metallic stent.

     
    Area of Interest: Cardiovascular system; Imaging Technique: MR; Procedure: Stents; Special Focus: Aneurysms;

    A frame during the first pass of gadolinium confirms the presence of a vessel becaming hyperintense.

     
    Area of Interest: Cardiovascular system; Imaging Technique: MR-Diffusion/Perfusion; Procedure: Stents; Special Focus: Aneurysms;
     
     
  • Figure 2
    Coronary Angio-CT images
     

    Coronary angio-CT with MIP reconstruction confirmed the MRI evidence of an intravascular structure.

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

    Coronary angio-CT with MIP reconstruction confirmed the MRI evidence of an intravascular structure.

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

    Angio-CT MIP reconstruction confirms the MRI evidence of an intravascular structure with blood extravasation.

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

    Angio-CT MIP reconstruction confirms the MRI evidence of an intravascular structure with blood extravasation.

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

    Angio-CT 3D reconstruction.

     
    Area of Interest: Cardiovascular system; Imaging Technique: CT-Angiography; Procedure: Stents; Special Focus: Aneurysms;
     
     
  • Figure 3
    Coronary artery angiography images
     

    Frame of RAO projection of coronary artery angiography confirmed the blood extravasation (arrowhead).

     
    Area of Interest: Cardiovascular system; Imaging Technique: Catheter arteriography; Procedure: Stents; Special Focus: Aneurysms;

    Frame of RAO projection of coronary artery angiography confirmed the blood extravasation (arrowhead).

     
    Area of Interest: Cardiovascular system; Imaging Technique: Catheter arteriography; Procedure: Stents; Special Focus: Aneurysms;
     
     
Long axis SSFP image confirms the presence of a round-shaped mass with a central hypointense structure (arrows).
 
Short axis SSFP image confirms the presence of a round-shaped mass with a central hypointense structure (arrows).
 
In the FSE image the aspect of the hypointense structure suggest a vascular origin with probably a metallic stent.
 
A frame during the first pass of gadolinium confirms the presence of a vessel becaming hyperintense.
 
Coronary angio-CT with MIP reconstruction confirmed the MRI evidence of an intravascular structure.
 
Coronary angio-CT with MIP reconstruction confirmed the MRI evidence of an intravascular structure.
 
Angio-CT MIP reconstruction confirms the MRI evidence of an intravascular structure with blood extravasation.
 
Angio-CT MIP reconstruction confirms the MRI evidence of an intravascular structure with blood extravasation.
 
Angio-CT 3D reconstruction.
 
Frame of RAO projection of coronary artery angiography confirmed the blood extravasation (arrowhead).
 
Frame of RAO projection of coronary artery angiography confirmed the blood extravasation (arrowhead).
 
 
 
Home Search Sections Teaching Cases History FAQ Case Archives Contact Login Disclaimer Imprint Switch to MOBILE version
View desktop version