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| A PICTURE IS WORTH A THOUSAND WORDS |
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| Year : 2017 | Volume
: 18
| Issue : 2 | Page : 64-65 |
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Dissecting aneurysm of aortic root with severe aortic regurgitation
Jayaprasad Narayanapillai
Department of Cardiology, Government Medical College, Kottayam, Kerala, India
| Date of Web Publication | 21-Jun-2017 |
Correspondence Address:
Jayaprasad Narayanapillai
Department of Cardiology, Government Medical College, Kottayam - 686 008, Kerala
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/1995-705X.208668
How to cite this article:
Narayanapillai J. Dissecting aneurysm of aortic root with severe aortic regurgitation. Heart Views 2017;18:64-5 |
Echocardiographic and computed tomography images of the aortic root are presented here [Figure 1],[Figure 2],[Figure 3],[Figure 4]. Aortic root dilatation involving sinus portion is characteristic of Marfan's Syndrome (MFS). The most common cardiovascular complication in patients with MFS is progressive aortic root enlargement which can precipitate acute Type A aortic dissection, aortic rupture, and AR. AR results from distortion of the aortic valve cusps by the enlarged aortic root and occurs in 15–44% of patients.[1] | Figure 1: Transthoracic echocardiographic parasternal long axis view showing dilated aortic root involving sinus portion with maximum diameter of 7.4 cm
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 | Figure 2: Transthoracic echocardiographic parasternal long axis view showing severe eccentric aortic regurgitation jet
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 | Figure 3: Three-dimensional reconstructed image of computed tomography aortogram showing an aneurysm of aortic root involving sinus portion with a transverse dissection flap within the aneurysm
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 | Figure 4: Computed tomography aortogram sagittal view showing aortic root aneurysm
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 References | |  |
| 1. | Milewicz DM, Dietz HC, Miller DC. Treatment of aortic disease in patients with Marfan syndrome. Circulation 2005;111:e150-7.  [ PUBMED] |
[Figure 1], [Figure 2], [Figure 3], [Figure 4]
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