|
Aortic Infections The Common Vein Copyright 2007 Ashley Davidoff MD Cause Aortic infection occurs through transmission of organisms via the vasa vasorum. Mycotic aneurysm, perigraft infection syphilis
Screening?
Treatment |
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Ascending Aorta – Dilated and Calcified
This lateral examination of the chest shows fine calcification in an ectatic ascending aorta associated with aortic annular calcification. Note the remarkable paucity of atherosclerotic change in the descending aorta. These findings are highly characteristic of tertiary syphilis of the aorta. Courtesy Ashley Davidoff MD. 00018c code CVS artery aorta ascending syphilis aneurysm calcification tortoise shell
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Ascending Aorta – Dilated and Calcified
This lateral examination of the chest shows fine calcification in an ectatic ascending aorta associated with aortic annular calcification. Note the remarkable paucity of atherosclerotic change in the descending aorta. These findings are highly characteristic of tertiary syphilis of the aorta. Courtesy Ashley Davidoff MD. 00018c code CVS artery aorta ascending syphilis aneurysm calcification tortoise shell
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Mycotic Aneurysm
hx 68F with previous aortic surgery p/w back pain and fever aorta descending thoracic, thoracoabdominal fx periaortic fluid collection fx false aneurysm fx pseudoaneurysm fx paravertebral fluid collection bone vertebral body destruction dx mycotic aneurym with dx vertebral osteomyelitis CTscan
Courtesy Ashley Davidoff MD 44502
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Mycotic Aneurysm
hx 68F with previous aortic surgery p/w back pain and fever aorta descending thoracic, thoracoabdominal fx periaortic fluid collection fx false aneurysm fx pseudoaneurysm fx paravertebral fluid collection bone vertebral body destruction dx mycotic aneurym with dx vertebral osteomyelitis CTscan
Courtesy Ashley Davidoff MD 44502
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Courtesy Ashley Davidoff MD 44502
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Courtesy Ashley Davidoff MD 44502
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Mycotic Aneurysm with Osteomyelitis
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
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Mycotic Aneurysm with Osteomyelitis
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
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Aortic Valve Vegetations
This gray scale echo of the heart showing a short-axis aorta left atrial view,, and demonstrating vegetations on the aortic valve. The patient has a diagnosis of bacterial endocarditis. Courtesy Philips Medical Systems 33126 code cardiac heart echo AO valve vegetations SBE bacterial endocarditis infection imaging cardiac echo
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Aortic Valve Vegetations
This gray scale echo of the heart showing a short-axis aorta left atrial view,, and demonstrating vegetations on the aortic valve. The patient has a diagnosis of bacterial endocarditis. Courtesy Philips Medical Systems 33126 code cardiac heart echo AO valve vegetations SBE bacterial endocarditis infection imaging cardiac echo
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Aortic Infections
The Common Vein Copyright 2007
Ashley Davidoff MD
Cause
Aortic infection occurs through transmission of organisms via the vasa vasorum. Mycotic aneurysm, perigraft infection syphilis
Aortic Valve Vegetations
This gray scale echo of the heart showing a short-axis aorta left atrial view,, and demonstrating vegetations on the aortic valve. The patient has a diagnosis of bacterial endocarditis. Courtesy Philips Medical Systems 33126 code cardiac heart echo AO valve vegetations SBE bacterial endocarditis infection imaging cardiac echo
Mycotic Aneurysm with Osteomyelitis
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
Mycotic Aneurysm
hx 68F with previous aortic surgery p/w back pain and fever aorta descending thoracic, thoracoabdominal fx periaortic fluid collection fx false aneurysm fx pseudoaneurysm fx paravertebral fluid collection bone vertebral body destruction dx mycotic aneurym with dx vertebral osteomyelitis CTscan
Courtesy Ashley Davidoff MD 44502
Screening?
Ascending Aorta – Dilated and Calcified
This lateral examination of the chest shows fine calcification in an ectatic ascending aorta associated with aortic annular calcification. Note the remarkable paucity of atherosclerotic change in the descending aorta. These findings are highly characteristic of tertiary syphilis of the aorta. Courtesy Ashley Davidoff MD. 00018c code CVS artery aorta ascending syphilis aneurysm calcification tortoise shell
Treatment
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Aortic Infections
The Common Vein Copyright 2007
Ashley Davidoff MD
Cause
Aortic infection occurs through transmission of organisms via the vasa vasorum. Mycotic aneurysm, perigraft infection syphilis
Aortic Valve Vegetations
This gray scale echo of the heart showing a short-axis aorta left atrial view,, and demonstrating vegetations on the aortic valve. The patient has a diagnosis of bacterial endocarditis. Courtesy Philips Medical Systems 33126 code cardiac heart echo AO valve vegetations SBE bacterial endocarditis infection imaging cardiac echo
Mycotic Aneurysm with Osteomyelitis
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
Mycotic Aneurysm
hx 68F with previous aortic surgery p/w back pain and fever aorta descending thoracic, thoracoabdominal fx periaortic fluid collection fx false aneurysm fx pseudoaneurysm fx paravertebral fluid collection bone vertebral body destruction dx mycotic aneurym with dx vertebral osteomyelitis CTscan
Courtesy Ashley Davidoff MD 44502
Screening?
Ascending Aorta – Dilated and Calcified
This lateral examination of the chest shows fine calcification in an ectatic ascending aorta associated with aortic annular calcification. Note the remarkable paucity of atherosclerotic change in the descending aorta. These findings are highly characteristic of tertiary syphilis of the aorta. Courtesy Ashley Davidoff MD. 00018c code CVS artery aorta ascending syphilis aneurysm calcification tortoise shell
Treatment
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Courtesy Ashley Davidoff MD 44502
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Courtesy Ashley Davidoff MD 44502
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Aortic Valve Vegetations
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Aortic Infections
The Common Vein Copyright 2007
Ashley Davidoff MD
Cause
Aortic infection occurs through transmission of organisms via the vasa vasorum. Mycotic aneurysm, perigraft infection syphilis
Aortic Valve Vegetations
This gray scale echo of the heart showing a short-axis aorta left atrial view,, and demonstrating vegetations on the aortic valve. The patient has a diagnosis of bacterial endocarditis. Courtesy Philips Medical Systems 33126 code cardiac heart echo AO valve vegetations SBE bacterial endocarditis infection imaging cardiac echo
Mycotic Aneurysm with Osteomyelitis
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
Mycotic Aneurysm
hx 68F with previous aortic surgery p/w back pain and fever aorta descending thoracic, thoracoabdominal fx periaortic fluid collection fx false aneurysm fx pseudoaneurysm fx paravertebral fluid collection bone vertebral body destruction dx mycotic aneurym with dx vertebral osteomyelitis CTscan
Courtesy Ashley Davidoff MD 44502
Screening?
Ascending Aorta – Dilated and Calcified
This lateral examination of the chest shows fine calcification in an ectatic ascending aorta associated with aortic annular calcification. Note the remarkable paucity of atherosclerotic change in the descending aorta. These findings are highly characteristic of tertiary syphilis of the aorta. Courtesy Ashley Davidoff MD. 00018c code CVS artery aorta ascending syphilis aneurysm calcification tortoise shell
Treatment
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Aortic Infections
The Common Vein Copyright 2007
Ashley Davidoff MD
Cause
Aortic infection occurs through transmission of organisms via the vasa vasorum. Mycotic aneurysm, perigraft infection syphilis
Aortic Valve Vegetations
This gray scale echo of the heart showing a short-axis aorta left atrial view,, and demonstrating vegetations on the aortic valve. The patient has a diagnosis of bacterial endocarditis. Courtesy Philips Medical Systems 33126 code cardiac heart echo AO valve vegetations SBE bacterial endocarditis infection imaging cardiac echo
Mycotic Aneurysm with Osteomyelitis
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
Mycotic Aneurysm
hx 68F with previous aortic surgery p/w back pain and fever aorta descending thoracic, thoracoabdominal fx periaortic fluid collection fx false aneurysm fx pseudoaneurysm fx paravertebral fluid collection bone vertebral body destruction dx mycotic aneurym with dx vertebral osteomyelitis CTscan
Courtesy Ashley Davidoff MD 44502
Screening?
Ascending Aorta – Dilated and Calcified
This lateral examination of the chest shows fine calcification in an ectatic ascending aorta associated with aortic annular calcification. Note the remarkable paucity of atherosclerotic change in the descending aorta. These findings are highly characteristic of tertiary syphilis of the aorta. Courtesy Ashley Davidoff MD. 00018c code CVS artery aorta ascending syphilis aneurysm calcification tortoise shell
Treatment
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