EURORAD ESR

Case 6330

Ironic perseveration

Author(s)
F. Fiocchi, G. Ligabue, C. Constantinescu, P. Torricelli
 
Patient
male, 40 year(s)
 
 
  • Figure 1
    Figure 1. balanced-FFE images

    balanced-FFE images demonstrated epiaortic vessel involvement: brachiocephalic artery (a), left carotid artery (b) and left subclavian artery (c). The intimal flap started from the aortic root, just few millimeters...

     
     
     
  • Figure 2
    Figure 2. balanced FFE on three chamber view

    balnced-FFE image on three chamber view showed aortic root ectasia with clear evidence of the intimal flap

     
     
     
  • Figure 3
    Figure 3. axial T2 fat suppressed SE image and coronal T1 SE image

    There was no sign of ulcers and/or intramural haematoma on T2 fat suppressed (a) and T1 images (b) performed on different planes

     
     
     
  • Figure 4
    Figure 4. balanced-FFE images performed on all planes in cine acquisition

    Balanced-FFE images performed on all planes: axial (a), coronal (b) and sagittal (c) allowed to assess intimal flap extension

     
     
     
  • Figure 5
    Figure 5. Phase-contrast images on aortic valve

    Phase-contrast sequence permitted to assess that aortic valve was tricuspid (a) with high transvalvular flow and moderate regurgitation (b).

     
     
     
  • Figure 6
    Figure 6. Angio-MRI

    3D angio-MRI demonstrated the almost simultaneous opacification of the two lumens

     
     
     
  • Figure 7
    Figure 7. T2 fat suppressed SE axial images

    Axial SE T2 fat suppressed images showing minimal pericardial effusioni in the superior para-aortic recess (a). No effusion was present in the pericardial sac (b, c).

     
     
     
balanced-FFE images demonstrated epiaortic vessel involvement: brachiocephalic artery (a), left carotid artery (b) and left subclavian artery (c). The intimal flap started from the aortic root, just few millimeters above the aortic valve
 
balnced-FFE image on three chamber view showed aortic root ectasia with clear evidence of the intimal flap
 
There was no sign of ulcers and/or intramural haematoma on T2 fat suppressed (a) and T1 images (b) performed on different planes
 
Balanced-FFE images performed on all planes: axial (a), coronal (b) and sagittal (c) allowed to assess intimal flap extension
 
Phase-contrast sequence permitted to assess that aortic valve was tricuspid (a) with high transvalvular flow and moderate regurgitation (b).
 
3D angio-MRI demonstrated the almost simultaneous opacification of the two lumens
 
Axial SE T2 fat suppressed images showing minimal pericardial effusioni in the superior para-aortic recess (a). No effusion was present in the pericardial sac (b, c).
 
 
 
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