Localized Aortic Root Dissection with a Superior Mesenteric Artery Aneurysm

In this study, the case of a 46-year-old female patient with localized aortic root dissection and a superior mesenteric artery (SMA) aneurysm is described. Computed tomographic angiography could not clearly delineate an intimal flap in the aortic root, but it detected SMA aneurysm, which implied the...

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Autores principales: Ikeda, Akihiko, Nakajima, Tomomi, Hiramatsu, Yuji, Jikuya, Tomoaki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5684149/
https://www.ncbi.nlm.nih.gov/pubmed/29147150
http://dx.doi.org/10.3400/avd.cr.16-00127
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author Ikeda, Akihiko
Nakajima, Tomomi
Hiramatsu, Yuji
Jikuya, Tomoaki
author_facet Ikeda, Akihiko
Nakajima, Tomomi
Hiramatsu, Yuji
Jikuya, Tomoaki
author_sort Ikeda, Akihiko
collection PubMed
description In this study, the case of a 46-year-old female patient with localized aortic root dissection and a superior mesenteric artery (SMA) aneurysm is described. Computed tomographic angiography could not clearly delineate an intimal flap in the aortic root, but it detected SMA aneurysm, which implied the presence of a vulnerability of the aortic wall. Finally, transesophageal echocardiography (TEE) evidently showed the intimal flap localized in the aortic root. The present case suggests that TEE is of paramount importance for detecting localized aortic root dissection. In addition, a coexisting vascular lesion may be a clue to diagnose another vascular lesion.
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spelling pubmed-56841492017-11-16 Localized Aortic Root Dissection with a Superior Mesenteric Artery Aneurysm Ikeda, Akihiko Nakajima, Tomomi Hiramatsu, Yuji Jikuya, Tomoaki Ann Vasc Dis Case Report In this study, the case of a 46-year-old female patient with localized aortic root dissection and a superior mesenteric artery (SMA) aneurysm is described. Computed tomographic angiography could not clearly delineate an intimal flap in the aortic root, but it detected SMA aneurysm, which implied the presence of a vulnerability of the aortic wall. Finally, transesophageal echocardiography (TEE) evidently showed the intimal flap localized in the aortic root. The present case suggests that TEE is of paramount importance for detecting localized aortic root dissection. In addition, a coexisting vascular lesion may be a clue to diagnose another vascular lesion. Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2017-09-25 /pmc/articles/PMC5684149/ /pubmed/29147150 http://dx.doi.org/10.3400/avd.cr.16-00127 Text en Copyright © 2017 Annals of Vascular Diseases http://creativecommons.org/licenses/by-nc-sa/4.0/ This article is distributed under the terms of the Creative Commons Attribution License, which permits use, distribution, and reproduction in any medium, provided the credit of the original work, a link to the license, and indication of any change are properly given, and the original work is not used for commercial purposes. Remixed or transformed contributions must be distributed under the same license as the original.
spellingShingle Case Report
Ikeda, Akihiko
Nakajima, Tomomi
Hiramatsu, Yuji
Jikuya, Tomoaki
Localized Aortic Root Dissection with a Superior Mesenteric Artery Aneurysm
title Localized Aortic Root Dissection with a Superior Mesenteric Artery Aneurysm
title_full Localized Aortic Root Dissection with a Superior Mesenteric Artery Aneurysm
title_fullStr Localized Aortic Root Dissection with a Superior Mesenteric Artery Aneurysm
title_full_unstemmed Localized Aortic Root Dissection with a Superior Mesenteric Artery Aneurysm
title_short Localized Aortic Root Dissection with a Superior Mesenteric Artery Aneurysm
title_sort localized aortic root dissection with a superior mesenteric artery aneurysm
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5684149/
https://www.ncbi.nlm.nih.gov/pubmed/29147150
http://dx.doi.org/10.3400/avd.cr.16-00127
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