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
Autor para correspondência
Serviço de Medicina Interna, Hospital Pedro Hispano, Unidade Local de Saúde de Matosinhos, E.P.E, Matosinhos, Portugal
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class="elsevierStyleSimplePara elsevierViewall">Three-dimensional computed tomography angiography showing a fistula between the aortic root and right ventricle.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Paulo Fonseca, Adelaide Dias, Nuno Bettencourt, Nuno Ferreira, Conceição Fonseca, Vasco Gama" "autores" => array:6 [ 0 => array:2 [ "nombre" => "Paulo" "apellidos" => "Fonseca" ] 1 => array:2 [ "nombre" => "Adelaide" "apellidos" => "Dias" ] 2 => array:2 [ "nombre" => "Nuno" "apellidos" => "Bettencourt" ] 3 => array:2 [ "nombre" => "Nuno" "apellidos" => "Ferreira" ] 4 => array:2 [ "nombre" => "Conceição" "apellidos" => "Fonseca" ] 5 => array:2 [ "nombre" => "Vasco" "apellidos" => "Gama" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S217420491400292X" "doi" => "10.1016/j.repce.2014.07.006" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true 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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" => 179218 ] ] "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" => 227336 ] ] "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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| 2016 Abril | 33 | 1 | 34 |
| 2016 Maro | 42 | 14 | 56 |
| 2016 Fevereiro | 47 | 23 | 70 |
| 2016 Janeiro | 48 | 15 | 63 |
| 2015 Dezembro | 41 | 15 | 56 |
| 2015 Novembro | 39 | 14 | 53 |
| 2015 Outubro | 46 | 18 | 64 |
| 2015 Setembro | 41 | 13 | 54 |
| 2015 Agosto | 46 | 12 | 58 |
| 2015 Julho | 46 | 9 | 55 |
| 2015 Junho | 23 | 2 | 25 |
| 2015 Maio | 48 | 14 | 62 |
| 2015 Abril | 29 | 13 | 42 |
| 2015 Maro | 33 | 13 | 46 |
| 2015 Fevereiro | 38 | 19 | 57 |
| 2015 Janeiro | 66 | 43 | 109 |
| 2014 Dezembro | 88 | 45 | 133 |
Mostrar tudo
