Uncategorized

The Common Vein Copyright 2007

Annulus

Calcified Annulus and Calcified Atherosclerotic Ascending Aorta
72859c01 aorta aortic annulus fx calcified calcification dx aortic sclerosis CTscan Courtesy Ashley Davidoff MD

Aortic Valve

Normal Aortic Valve
47368c02 spine bone thoracic spine ospeopenia osteoporosis fx wedge compression fractures shape mechanical forces calcification aortic valve aortic sclerosis aortic stenosis AS kyphosis CXR plain film X-ray Davidoff MD

Bicuspid Aortic Valve
72885.800 thorax thoracic aorta aortic valve fx thickened dx bicuspid aortic valve CTscan Courtesy Ashley Davidoff MD

Calcific Aortic Stenosis
39698 heart cardiac aortic valve calcification aortic stenosis LVH

Calcific Aortic Stenosis with Post Stenotic Dilatation
45196 heart cardiac RA right atrium right ventricle RV RVIT RVOT pulmonary valve TV tricuspid valveright ventricular sinus right ventricular outflow tract aorta aortic calcification calcified aortic valve dx AS aortic stenosis anatomy CTscan Courtesy Ashley Davidoff MD

Ascending Aorta

Ascending Aortic Aneurysm
This series of images are from a CTscan showing an ascending aortic thoracic aneurysm. There is evidence of heavy calcification of the aortic valve (aortic sclerosis), an aneurysm confined to the ascending aorta (b,c,d), and tortuosity of the descending aorta (d). The cause for the aneurysm is probably a combination of systemic hypertension, aortic stenosis and atherosclerotic degeneration of the wall. Courtesy Ashley Davidoff MD 19426c code CVS thorax aorta ascending aneurysm MAC aortic sclerosis CTscan

Aortic Arch

Aortic Arch – Dissection
20449 thorax thoracic aorta arch aorta fx dissection dx aortic dissection type A CTscan Courtesy Ashley Davidoff MD DB

Contrast CT Masks Thrombosed Dissection

Unenhanced Reveals Small Hyperdense Dissection
This series of CT scans were taken 1 day apart. The patient presented with chest pain and the soft tissue changes around contrast filled aorta (a,b,c) suggested a chronic dissection, or an acute thrombosed dissection. 1 day later the non-contrast CT clearly reveals an acute thrombosed dissection (d,e,f) that started in the arch and extended along the descending thoracic aorta. The last series (g,h,i) enhance the non contrats study. A non contrast CT followed by contrast injection, is an important tchnique to optimally characterise acute changes in this clincal setting. Courtesy Ashley Davidoff MD 36865c code CVS aorta thoracic arch descending dissection hyperdense cresecent sign acute thrombosed dissection 36865c new

Expanding Aneurysm of the Arch
This combination CXR and CT reveals an expanding aneurysm of the arch fromm 2002 to 3003. The CT shows three aneurysm in the arch of the aorta. The largest seen in image 3,6, and 7 accounts for the finding in the left apex of the CXR, while a second pseudoaneurysm is seen on the lateral border of the knob (4,8) and a penetrating ulcer medially (5) 32029c

 

Isthmus

Coartctation – Reconstruction
44146 coarctation of the aorta heart cardiac CTscan MDCT Courtesy Philips Medical

 

Patent Ductus Arteriosus
42326.800 aorta pulmonary artery finding PDA patent ductus arteriosus left to right shunt arteriovenous malformation CTscan Courtesy Ashley Davidoff MD
Ductus Diverticulum
71175c01 aorta thorax thoracic fx aortic ectasia sigmoid shape tortuosity breast asymmetry size CXR plain film Davidoff MD

Descending Aorta

Aneurysm
This series of CTscans with contrast show a distal thoracic aortic aneurysm showing thrombus in the lumen (a,b) and irregular atherosclerotic plaque. The presence of calcified wall extrinsic to the thrombus makes a fusiform aneurysm likely, and focal thrombosed dissection secondary to ulcer penetration less likely. Courtesy Ashley Davidoff MD 36845c code thorax aorta descending aneurysm thrombus

Aortic Dissection
20451 descending aorta ascending aorta fx dissection dx aortic dissection type A CTscan Courtesy Ashley Davidoff MD DB

Abdominal Aorta

Aneurysm
17061.801red aorta chest abdomen aneurysmal disease thoracic aorta abdominal aorta suprarenal aneurysm

Traumatic Dissection of the Abdominal Aorta wit Loss of Perfusion of the Left Renal Artery
These images represent a traumatic dissection of the abdominal aorta caused by a compression injury to the abdomen. The angiograms in a and b shows what appears to be a complex tear of the aorta with a dissection and then a subtotal obstruction of the aorta distally. The CTscan shows (c) the dissection to better effect, with a subtotal narrowing of the aorta distally. Note also the injury of the left renal artery on the angiogram as well as the lack of perfusion of the left kidney on the CT scan. Courtesy Ashley Davidoff MD. 14734c code aorta abdomen trauma dissection

Scalloping of Vertebra and Mycotic Aneurysm
This combination of images from a CTscan of the abdomen are of a middle aged man who presented with back pain and fever, with a remote history of AAA repair. The lateral scout film shows scalloping of vertebral bodies 2 and 3 (a) highighted in green overlay in b. The CTscan with soft tissue windows (c) and bone windows (d) show a complex fluid collection surrounding the aorta which proved to be a perigraft infection. Courtesy Ashley Davidoff MD. 22725c02 code CVS artery aorta abdomen abscess AA repair infection bone vertebra lumbar anterior scalloping

Stent Graft
24284b01 aorta AAA repair abdominal aortic aneurysm MIT stent graft X-ray plain film KUB Davidoff MD