aorta – The Common Vein

009A Aneurysm of the Distal Arch

Thu, 21 Dec 2023 04:03:34 +0000

Scout CT shows a left sided70-year-old male presented
Hoarseness and Mediastinal mass

Scout CT Aortic Aneurysm of the Distal Aortic Arch
70-year-old male presented hoarseness and mediastinal mass. Scout CT shows a left sided mediastinal mass. The aortic knob left main stem bronchus and pulmonary branches can be seen – “hilum overlay” sign, indicating that the mass is not arising from the lung parenchyma. There is elevation of the left hemidiaphragm secondary to left phrenic nerve palsy.
Ashley Davidoff MD TheCommonVein.net 009A 136223

Coronal CT
Aortic Aneurysm of the Distal Aortic Arch and
Elevated Left Hemidiaphragm

Coronal CT Aortic Aneurysm of the Distal Aortic Arch and Elevated Left Hemidiaphragm
Coronal CT with contrast shows a left sided aneurysm off the aortic arch with a large thrombus in the aneurysm. There is elevation of the left hemidiaphragm secondary to left phrenic nerve palsy. .
Ashley Davidoff MD TheCommonVein.net 009A 136225

Axial CT Aortic Aneurysm of the Distal Aortic Arch
?Traumatic in Origin

Axial CT Aortic Aneurysm of the Distal Aortic Arch
Axial CT with contrast shows a left sided aneurysm off the aortic arch with a large thrombus in the aneurysm. The neck of the aneurysm is relatively wide. The location of the aneurysm raises the possibility that the aneurysm may have been traumatic in origin. Additionally, there is a lack of significant atherosclerosis.
Ashley Davidoff MD TheCommonVein.net 009A 136224

Coronal CT Aortic Aneurysm of the Distal Aortic Arch

Post Endograft Repair

Coronal CT Aortic Aneurysm of the Distal Aortic Arch Post Endograft Repair
Axial CT with contrast shows a left sided aneurysm off the aortic arch s/p repair with an endograft with a large residual thrombus in the aneurysmal sac (a, white arrowhead). Within the left subclavian artery (LSA) there is an Amplatzer device (b, white ring) which occludes the LSA at its origin. The patient had a left carotid to LSA graft to enable flow to the left upper limb. There is elevation of the left hemidiaphragm secondary to left phrenic nerve palsy. .
Ashley Davidoff MD TheCommonVein.net 009A 136226cL

Faces of Atherosclerosis

Thu, 28 Sep 2023 02:44:38 +0000

Atherosclerosis
This image shows three pathological specimens of the aorta. In the first image minimally raised fatty streaks are noted. (a). In image b, the fibrous capsule causes raised fibrofatty nodules, while in c, there gas been rupture of the plaques, with friable atheromatous plaques abound. Courtesy Henri Cuenoid MD 13420c CVS artery aorta atheroscleosis atheroma fatty streaks fibro
THECOMMONVEIN.net

81 year old male showing significant unfolding of the aorta with leftward shift of the trachea caused by lengthening of the aorta over time.
Ashley Davidoff MD TheCommonVein.net

As a person ages, the aorta may gradually elongate or become longer. This elongation can be due to the continuous stretching and remodeling of the aortic wall over the years.

Normal and Severe Atherosclerosis
18485c01 aorta artery hepatic artery renal artery splenic artery superior mesenteric artery SMA kidney severe atheroscleroris atheroma occluded renal artery spleen liver normal anatomy angiogram angiography
Ashley Davidoff MD
THECOMMONVEIN.net

Faces of the Aorta

Thu, 28 Sep 2023 02:41:52 +0000

Aging Aorta
Atherosclerosis

Faces of the Aging Aorta

Thu, 28 Sep 2023 02:34:50 +0000

81 year old male showing significant unfolding of the aorta with leftward shift of the trachea caused by lengthening of the aorta over time.
Ashley Davidoff MD TheCommonVein.net

As a person ages, the aorta may gradually elongate or become longer. This elongation can be due to the continuous stretching and remodeling of the aortic wall over the years.

0001 new

Thu, 07 Sep 2023 21:48:17 +0000

135494. aorta coral reef appearance 74 female 001a

005Ao Ruptured Iliac Aneurysm region with Aorta to IVC Fistula

Fri, 24 Mar 2023 00:08:37 +0000

78 yo M with PMHx significant for
- COPD, HTN, HLD,
- CVA,
- Afib on xarelto, who presented
  - abdominal/back pain and
  - lower extremity pain with
  - paresthesias.
  - hypotensive,
  - tachycardic,
  - diaphoretic.
  - bounding L femoral pulse and
  - no palpable R femoral pulse.
- CTA noted

7 years Ago Right Common Iliac Artery Aneurysm

R common iliac artery aneurysm, in a 75 year old male on a CT of the pelvis 7 years ago
Ashley Davidoff MD TheCommonVein.net aneurysm rupture fistula to IVC 001

- - AAA 7.3 cm
    - active extraluminal extravasation of contrast along the posterior margin of the right common iliac artery aneurysm sac.

R common iliac artery aneurysm, in a 75 year old male on a CT of the pelvis showing active extraluminal extravasation of contrast along the posterior margin of the right common iliac artery aneurysm sac
Ashley Davidoff MD TheCommonVein.net aneurysm rupture fistula to IVC 003

- - given reversal for anticoagulation with Kcentra a
  - 3 units of whole blood
  - massive transfusion protocol

- - EVAR with
  - coiling of the right internal iliac artery

006Ao Pseudoaneurysm of Suprarenal Aorta Coiled

Fri, 17 Mar 2023 02:44:35 +0000

Links and References

TCV number 6003

Aneurysms Map

Thu, 16 Mar 2023 12:14:46 +0000

Aneurysm Where to measure

Thu, 16 Mar 2023 12:14:03 +0000

The national abdominal aortic aneurysm (AAA) screening programme measures internal wall diameter;

however, UK intervention criteria use external wall diameter.

Links and References

Wanhainen et al Surrogate Markers of Abdominal Aortic Aneurysm Progression Arteriosclerosis, Thrombosis, and Vascular Biology Vol. 36, No. 2

008Ao Severe Coarctation Diagnosed in an Adult

Tue, 06 Dec 2022 19:42:44 +0000

Original images in heart module

36 year longstanding hypertension

treated HTN found to be in the 240s without evidence of end organ dysfunction

HTN found to be in the 240s without evidence of end organ dysfunction20 year longstanding hypertension. He was found to have upper abdominal bruit and suspected to have a coarctation

Left ventricular hypertrophy
Normal sinus rhythm

Severe coarct with 3 sign

CT SCOUT RIB Notching and LVH

CT LVH Left Lateral Thoracic Collateral Arteries

CT SCOUT LVH

CT RIB Notching and LVH

CT Enlarged Left Subclavian Artery Collaterals

CT Enlarged Left Subclavian Artery Intercostal Collaterals

CT Enlarged Internal Mammary Arteries Artery Intercostal Arteries and Inferior Epigastric Artery Collaterals

CT Enlarged Internal Mammary Arteries
Lateral Thoracic Artery Collaterals

CT Region of the Coarctation

Collateral Distal to the Coarctation

CT CT Distal to the Coarctation and LVH

CT Region Distal to Coarctation with Inferior Epigastric Artery Collaterals

Post Stent HAve to add

Plan to book for percutaneous stent to coarct under GA.

Peak gradient 70 mm in the cath lab. 16 x 45 mm stent graft was placed at thoracic coart site