Image in Cardiology
Abdominal aortic aneurysm – Characterization by three-dimensional computed tomography angiography
Aneurisma da aorta abdominal – Caracterização por angiotomografia computadorizada tridimensional
João Caiano Gil
, Jorge Martins, António Furtado
Corresponding author
Serviço de Medicina Interna, Hospital Pedro Hispano, Unidade Local de Saúde de Matosinhos, E.P.E, Matosinhos, Portugal
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"cabecera" => "<span class="elsevierStyleTextfn">Image in Cardiology</span>" "titulo" => "Leiomyosarcoma of the inferior vena cava in a patient with Budd-Chiari syndrome" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "807" "paginaFinal" => "809" ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Leiomiosarcoma da veia cava inferior num doente com síndrome de Budd-Chiari" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 517 "Ancho" => 1459 "Tamanyo" => 66655 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Magnetic resonance long-axis image of the heart, showing a large mass inside the right atrium (arrow) appearing irregularly hyperintense in a T1-weighted fast-spin-echo sequence (A), a T2-weighted short-tau inversion recovery fast-spin-echo sequence (B) and a post-contrast T1-weighted gradient-echo sequence (C). These signal characteristics, together with the local invasiveness of the mass, indicated a neoplastic nature.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Andrea Barison, Luigi Emilio Pastormerlo, Gianluca Mirizzi, Elisa Castelluccio, Pier Giorgio Masci, Claudio Passino" "autores" => array:6 [ 0 => array:2 [ "nombre" => "Andrea" "apellidos" => "Barison" ] 1 => array:2 [ "nombre" => "Luigi Emilio" "apellidos" => "Pastormerlo" ] 2 => array:2 [ "nombre" => "Gianluca" "apellidos" => "Mirizzi" ] 3 => array:2 [ "nombre" => "Elisa" "apellidos" => "Castelluccio" ] 4 => array:2 [ "nombre" => "Pier Giorgio" "apellidos" => "Masci" ] 5 => array:2 [ "nombre" => "Claudio" "apellidos" => "Passino" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S0870255114002844" "doi" => "10.1016/j.repc.2014.06.007" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255114002844?idApp=UINPBA00004E" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204914002906?idApp=UINPBA00004E" "url" => "/21742049/0000003300000012/v1_201501081043/S2174204914002906/v1_201501081043/en/main.assets" ] "en" => array:16 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image in Cardiology</span>" "titulo" => "Abdominal aortic aneurysm – Characterization by three-dimensional computed tomography angiography" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "811" "paginaFinal" => "812" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "João Caiano Gil, Jorge Martins, António Furtado" "autores" => array:3 [ 0 => array:4 [ "nombre" => "João" "apellidos" => "Caiano Gil" "email" => array:1 [ 0 => "joao.gil@ulsm.min-saude.pt" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Jorge" "apellidos" => "Martins" ] 2 => array:2 [ "nombre" => "António" "apellidos" => "Furtado" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Serviço de Medicina Interna, Hospital Pedro Hispano, Unidade Local de Saúde de Matosinhos, E.P.E, Matosinhos, Portugal" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Aneurisma da aorta abdominal – Caracterização por angiotomografia computadorizada tridimensional" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 997 "Ancho" => 1501 "Tamanyo" => 242906 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Three-dimensional computed tomography reconstruction of the abdominal aortic aneurysm (A) and corresponding volume-rendered angiography in detail (B).</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Abdominal aortic aneurysm is a relatively common condition associated with well-defined cardiovascular risk factors. A 74-year-old Caucasian man with a 100-pack-year history of cigarette smoking and generalized atherosclerotic disease manifested by symptomatic carotid artery disease and peripheral artery disease presented to our department for assessment of severe abdominal pain. Physical examination was unremarkable, except for a tender and pulsatile periumbilical mass. A contrast-enhanced computed tomography scan showed an aortic aneurysm with circumferential mural thrombosis extending from below the renal arteries to the bifurcation of the common iliac arteries, without evidence of rupture or dissection (<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>A and B). Three-dimensional angiographic reconstruction revealed a complex bilobular aneurysm, the proximal and distal segments measuring 6.6 cm×5.6 cm and 7.5 cm×6.8 cm, respectively, in transverse diameters (<a class="elsevierStyleCrossRef" href="#fig0010">Figure 2</a>A and B; Supplementary Data, Videos 1 and 2). The patient underwent elective surgery three months later, with successful aorto-aortic graft insertion.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">This case illustrates the usefulness of three-dimensional computed tomography angiography in the assessment of the location and anatomy of aortic aneurysms, providing a valuable non-invasive tool for selecting the appropriate surgical procedure. The rare morphology of this aneurysm, in particular, resembles that of a human fetus in the uterus, giving it an unusual and curious radiological appearance.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Ethical disclosures</span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Protection of human and animal subjects</span><p id="par0015" class="elsevierStylePara elsevierViewall">The authors declare that no experiments were performed on humans or animals for this study.</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Confidentiality of data</span><p id="par0020" class="elsevierStylePara elsevierViewall">The authors declare that they have followed the protocols of their work center on the publication of patient data.</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Right to privacy and informed consent</span><p id="par0025" class="elsevierStylePara elsevierViewall">The authors declare that no patient data appear in this article.</p></span></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conflicts of interest</span><p id="par0030" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:3 [ "identificador" => "sec0005" "titulo" => "Ethical disclosures" "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0010" "titulo" => "Protection of human and animal subjects" ] 1 => array:2 [ "identificador" => "sec0015" "titulo" => "Confidentiality of data" ] 2 => array:2 [ "identificador" => "sec0020" "titulo" => "Right to privacy and informed consent" ] ] ] 1 => array:2 [ "identificador" => "sec0025" "titulo" => "Conflicts of interest" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2014-05-14" "fechaAceptado" => "2014-06-12" "apendice" => array:1 [ 0 => array:1 [ "seccion" => array:1 [ 0 => array:4 [ "apendice" => "<p id="par0060" class="elsevierStylePara elsevierViewall"><elsevierMultimedia ident="upi0010"></elsevierMultimedia><elsevierMultimedia ident="upi0015"></elsevierMultimedia></p>" "etiqueta" => "Appendix A" "titulo" => "Supplementary data" "identificador" => "sec0035" ] ] ] ] "multimedia" => array:4 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 995 "Ancho" => 1500 "Tamanyo" => 193829 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Contrast-enhanced computed tomography image of the abdominal aortic aneurysm in coronal view (A) and sagittal view (B).</p>" ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 997 "Ancho" => 1501 "Tamanyo" => 242906 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Three-dimensional computed tomography reconstruction of the abdominal aortic aneurysm (A) and corresponding volume-rendered angiography in detail (B).</p>" ] ] 2 => array:5 [ "identificador" => "upi0010" "tipo" => "MULTIMEDIAECOMPONENTE" "mostrarFloat" => false "mostrarDisplay" => true "Ecomponente" => array:3 [ "fichero" => "mmc1.mp4" "ficheroTamanyo" => 317476 "Video" => array:2 [ "flv" => array:5 [ "fichero" => "mmc1.flv" "poster" => "mmc1.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] "mp4" => array:2 [ "fichero" => "mmc1.m4v" 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