Incidental detection of a giant ductus arteriosus aneurysm by low-dose multidetector computed tomography in an asymptomatic adult.
Aneurysm of the ductus arteriosus is a very rare congenital lesion in adults that can be associated with thromboembolism, rupture, and death. Its detection in a silent clinical phase is very important for planning appropriate treatment and avoiding potentially fatal complications. We report a case of a patent ductus arteriosus aneurysm of very large size (65.5 mm) that was incidentally discovered with low-dose (3.2 mSv) multidetector computed tomography in an asymptomatic 67-year-old man. The presence of coronary disease was also ruled out with this non-invasive imaging modality. Further evaluation with echocardiography and selective angiography confirmed the diagnosis. At surgery, the aneurysm was successfully resected via a left posterolateral thoracotomy.
Pontone
Gianluca
G
Centro Cardiologico Monzino, Istituto di Ricerca e Cura a Carattere Scientifico (IRCCS), Department of Cardiovascular Sciences, University of Milan, Milan, Italy. gianluca.pontone@ccfm.it
Andreini
Daniele
D
Bartorelli
Antonio L
AL
Dainese
Luca
L
Fusari
Melissa
M
Biglioli
Paolo
P
D000368:Aged; D000792:Angiography / Q000379:methods; D001014:Aortic Aneurysm / Q000151:congenital / Q000000981:diagnostic imaging* / Q000601:surgery; D013504:Cardiovascular Surgical Procedures / Q000379:methods; D004373:Ductus Arteriosus; D004374:Ductus Arteriosus, Patent / Q000000981:diagnostic imaging* / Q000503:physiopathology / Q000601:surgery*; D004562:Electrocardiography / Q000379:methods; D005500:Follow-Up Studies; D006801:Humans; D021621:Imaging, Three-Dimensional / Q000379:methods; D033162:Incidental Findings; D008297:Male; D013902:Radiography, Thoracic; D035583:Rare Diseases; D018570:Risk Assessment; D012720:Severity of Illness Index; D013908:Thoracotomy / Q000379:methods; D014057:Tomography, X-Ray Computed / Q000379:methods*; D016896:Treatment Outcome