Ascending aorta pseudoaneurysm simulating mediastinal lymphoma in computed tomography, a possible diagnostic error: a case report

Author:

Chiocchi Marcello,Spiritigliozzi Luigi,Di Tosto Federica,Benelli Leonardo,D’Errico Francesca,Presicce Matteo,Pugliese Luca,Ricci Francesca,De Stasio Vincenzo,Di Donna Carlo,Pasqualetto Monia,Colella Dionisio Ferdinando,Floris Roberto

Abstract

Abstract Background An ascending aortic pseudoaneurysm is a severe and rare complication following cardiothoracic surgery. This case report demonstrates its possible misinterpretation and the consequent importance of multidisciplinary evaluation. Case presentation We present a case of an 18-year-old Caucasian man with Marfan syndrome who developed an ascending aortic pseudoaneurysm about 1 year after undergoing cardiac surgery with the Bentall procedure. Computed tomographic examination of the thoracic aorta and positron emission tomography–computed tomography initially suggested a lymphomatous pathology. However, these imaging results were in contrast to the transesophageal echocardiogram and the laboratory data that showed negative results for hematological pathology. A second computed tomographic scan redirected the diagnosis toward a pseudoaneurysm. Conclusion This case demonstrates the utility of close communication and interdisciplinary consultation between cardiovascular radiologists and the cardiac surgery team, which are mandatory in order to maximize their diagnostic skills in identifying postoperative complications.

Publisher

Springer Science and Business Media LLC

Subject

General Medicine

Reference11 articles.

1. Katsumata T, Moorjani N, Vaccari G, Westaby S. Mediastinal false aneurysm after thoracic aortic surgery. Ann Thorac Surg. 2000;70(2):547–52.

2. Parhar D, Klass D, Legiehn G, Chung J, Cheung A, Janusz M. Transapical coil embolization of a postsurgical ascending thoracic aortic pseudoaneurysm. Cardiovasc Intervent Radiol. 2019;42(10):1500–4.

3. Dhadwal AK, Abrol S, Zisbrod Z, Cunningham JN. Pseudoaneurysms of the ascending aorta following coronary artery bypass surgery. J Card Surg. 2006;21(3):221–4.

4. Perrone MA, Intorcia A, Morgagni R, Marchei M, Sergi D, Pugliese L, et al. Primary cardiac lymphoma: the role of multimodality imaging. J Cardiovasc Med (Hagerstown). 2018;19(8):455–8.

5. Kumar P, Yamada K, Ladas GP, Goldstraw P. Mediastinoscopy and mediastinotomy after cardiac surgery: are safety and efficacy affected by prior sternotomy? Ann Thorac Surg. 2003;76(3):872–877.

Cited by 3 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3