Abstract
This report describes the case of previous type-A aortic dissection treated with the placement of a termino-terminal prosthesis, which developed a large peri-prosthetic pseudoaneurysmatic sac, detected by CT, performed 2 years after the surgery. This raised the suspicion of a communication between the pseudoaneurysmatic sac and the aortic lumen, but was not able to show it directly. Transthoracic echocardiography confirmed the presence of the fistula, showing a systo-diastolic color Doppler jet signal connecting these two structures.The complementary role of these two diagnostic techniques allowed a complete evaluation of this complex pathology.
MeSH terms
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Aged
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Aneurysm, False / diagnosis*
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Aneurysm, False / diagnostic imaging
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Aneurysm, False / drug therapy
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Aneurysm, False / etiology
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Aortic Aneurysm / diagnostic imaging
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Aortic Aneurysm / surgery*
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Aortic Dissection / diagnostic imaging
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Aortic Dissection / surgery*
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Aortography / methods*
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Arterio-Arterial Fistula / diagnosis
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Arterio-Arterial Fistula / diagnostic imaging
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Arterio-Arterial Fistula / drug therapy
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Arterio-Arterial Fistula / etiology
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Blood Vessel Prosthesis Implantation / adverse effects*
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Cardiovascular Agents / therapeutic use
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Echocardiography, Doppler, Color*
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Echocardiography, Doppler, Pulsed*
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Female
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Humans
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Predictive Value of Tests
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Pulmonary Artery / abnormalities
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Pulmonary Artery / diagnostic imaging
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Time Factors
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Tomography, X-Ray Computed*
Supplementary concepts
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Aorta-pulmonary artery fistula