title: An Ascending Aortic Rent with a Saccular Aneurysm: Role of Multimodality Imaging.
abstract: We report an unusual case of 26 year old previously healthy man who presented with exertional breathlessness of 6 months duration with clinical findings suggestive of moderate aortic regurgitation (AR). There was no previous history suggestive of trauma or chest pain. Trans-thoracic and trans-esophageal echocardiography showed an ascending aortic aneurysm compressing the Left atrium and presence of moderate AR. A 64 slice cardiac CT with intraaortic endoscopic reconstruction further clarified the anatomy. This revealed an ascending aortic aneurysm, extending into the middle mediastinum with a clear rent in the ascending aorta, communicating with the aneurysm. More importantly, CT imaging also confirmed the absence of a dissection flap. The case demonstrates the usefulness of multimodality imaging in defining the morpho-anatomic features in such unusual situations.
authors.affiliation: Departments of Cardiology and.
authors.forename: Jugal
authors.initials: J
authors.lastname: Sharma
authors.affiliation: Departments of Cardiology and.
authors.forename: Aditya
authors.initials: A
authors.lastname: Kapoor
authors.affiliation: Departments of Cardiology and.
authors.forename: Sudeep
authors.initials: S
authors.lastname: Kumar
authors.affiliation: Radiodiagnosis, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India.
authors.forename: Saurabh
authors.initials: S
authors.lastname: Gaharwar
authors.affiliation: Radiodiagnosis, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India.
authors.forename: Rajendra V
authors.initials: RV
authors.lastname: Phadke
keywords: Ascending aorta; Multimodality imaging; Saccular aneurysm