Complementary role of cardiac computed tomography and Doppler-echocardiography in the evaluation of an uncommon case of giant pseudoaneurysm of ascending aorta complicated by fistula to the pulmonary artery

• DOI: 10.2459/jcm.0b013e328332e98d
• Publication Date: 2010-09-01T12:56:31Z
• Authors: Daniele Andreini; Gianluca Pontone; Alberto Formenti; Mauro Agnifili; Saima Mushtaq; Mauro Pepi
• Keywords: Pseudoaneurysm; Lumen (anatomy)

This report describes the case of previous type-A aortic dissection treated with placement a termino-terminal prosthesis, which developed large peri-prosthetic pseudoaneurysmatic sac, detected by CT, performed 2 years after surgery. raised suspicion communication between sac and lumen, but was not able to show it directly. Transthoracic echocardiography confirmed presence fistula, showing systo-diastolic color Doppler jet signal connecting these two structures.The complementary role diagnostic techniques allowed complete evaluation this complex pathology.