Rupture of a thoracic aorta pseudoaneurysm: rare presentation and role of real-time 3D transoesophageal echocardiography.
A 59-year-old man presented with cardiogenic shock caused by acute right ventricular failure due to extrinsic compression of the right coronary artery by a thoracic aorta pseudoaneurysm. Angiography and real-time 3D transoesophageal echocardiography (TEE) were performed and enough diagnostic accuracy was achieved to operate on the patient without further image techniques and consequent delay. Three-dimensional TEE is a new technology that combines high-quality anatomic and colour Doppler information with bedside performance, essential in emergent clinical scenarios.
Salinas
Pablo
P
Department of Cardiology, La Paz University Hospital, Paseo de la Castellana, Madrid, Spain. salinas.pablo@gmail.com
Lopez
Teresa
T
Gonzalez
Ana
A
Pena-Conde
Laura
L
Moreno
Raul
R
Moreno
Mar
M
Lopez-Sendon
Jose Luis
JL
D017541:Aneurysm, False / Q000150:complications* / Q000000981:diagnostic imaging; D017545:Aortic Aneurysm, Thoracic / Q000150:complications* / Q000000981:diagnostic imaging; D001019:Aortic Rupture / Q000000981:diagnostic imaging / Q000209:etiology*; D019560:Echocardiography, Three-Dimensional / Q000379:methods; D017548:Echocardiography, Transesophageal / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012770:Shock, Cardiogenic / Q000209:etiology* / Q000601:surgery; D016896:Treatment Outcome