Giant thoracic aorta aneurysm below an endovascular stent - An unexpected finding during linear endoscopic ultrasound.
Isabel TarrioTarcísio AraújoJoão FernandesLuís LopesPublished in: Revista espanola de enfermedades digestivas (2023)
A 50-year-old woman with a history of bicuspid aortic valve (BAV) and ascending aorta dissection was referred for endoscopic ultrasound (EUS) for suspected choledocholithiasis. Twelve years earlier she had undergone a Bentall-de Bone procedure and 7 years earlier a thoracic aorta aneurysm (TAA) was repaired with an endovascular prosthesis. EUS confirmed choledocholithiasis, however a large aneurysm (60 mm of diameter), was incidentally detected at the distal end of the aortic endoprosthesis. Computed tomography (CT) later confirmed the aneurysm, extending 4.5 cm above the renal arteries. The patient underwent a successful new endovascular repair. This rare incidental finding underscores the usefulness of a systematic approach when performing EUS, enabling the detection of significant abnormalities beyond the initial indication and allowing for early intervention in TTA patients.
Keyphrases
- aortic valve
- coronary artery
- ultrasound guided
- pulmonary artery
- aortic stenosis
- fine needle aspiration
- transcatheter aortic valve replacement
- aortic dissection
- computed tomography
- transcatheter aortic valve implantation
- aortic valve replacement
- magnetic resonance imaging
- end stage renal disease
- abdominal aortic aneurysm
- ejection fraction
- spinal cord
- positron emission tomography
- chronic kidney disease
- minimally invasive
- randomized controlled trial
- dual energy
- newly diagnosed
- contrast enhanced
- image quality
- pulmonary embolism
- heart failure
- peritoneal dialysis
- contrast enhanced ultrasound
- coronary artery disease
- magnetic resonance
- pulmonary arterial hypertension
- patient reported outcomes
- postmenopausal women
- spinal cord injury
- loop mediated isothermal amplification
- quantum dots
- neural network
- rare case
- pet ct