[Diagnosis of congenital anomaly of the inferior vena cava simulating aortic dissecting aneurysm by the method of transesophageal echo- cardiography].
A case of 59 year old woman with acute myocardial infarction is presented in whom chest X-ray film revealed double outlined aortic arch suggestive of dissection. Transesophageal echocardiography (TEE) disclosed presence of two vascular canals in the place of thoracic aorta. Atypical dissection of thoracic aorta or a vascular anomaly were suspected because the image of dissection of intima was not characteristic and no connection between the two canals was found. Computed tomography ruled out presence of aortic aneurysm but the image of inferior vena cava was difficult for interpretation. Final diagnosis of congenital anomaly of inferior vena cava, originating from two iliac veins, passing along left side of the spine and emptying to the right atrium at the level of aortic arch, was established by means of cavography. Familiarity with TEE image of this vascular anomaly may allow avoidance of diagnostic error in cases suspected of aortic dissection.
Jakubowska-Najnigier
M
M
Kliniki Kardiologii Instytutu Chorób Wewnetrznych Akademii Medycznej, Warszawie.
Torbicki
A
A
Stanisławska
J
J
Górecki
A
A
Kalinowski
R
R
D000784:Aortic Dissection / Q000000981:diagnostic imaging*; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging; D001014:Aortic Aneurysm / Q000000981:diagnostic imaging*; D003951:Diagnostic Errors; D004452:Echocardiography / Q000379:methods; D004947:Esophagus / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D008875:Middle Aged; D014682:Vena Cava, Inferior / Q000002:abnormalities* / Q000000981:diagnostic imaging
Wrodzona anomalia zyły głównej dolnej naśladujaca rozwarstwienie aorty w badaniu metoda echokardiografii przezprzełykowej.