Expanding pseudoaneurysm compressing the coronary arteries and causing cardiogenic shock.

Autor: Maliske SM; Department of Internal Medicine, University of Iowa Hospital and Clinics, 200 Hawkins Drive, Iowa City, IA 52242, USA; Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, IA, USA. Electronic address: seth-maliske@uiowa.edu., Alshawabkeh L; Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, IA, USA., Schouweiler K; Department of Pathology, University of Iowa Carver College of Medicine, Iowa City, IA, USA., Sigurdsson G; Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, IA, USA; Department of Radiology, University of Iowa Carver College of Medicine, Iowa City, IA, USA.
Jazyk: angličtina
Zdroj: Journal of cardiovascular computed tomography [J Cardiovasc Comput Tomogr] 2015 May-Jun; Vol. 9 (3), pp. 230-1. Date of Electronic Publication: 2014 Dec 26.
DOI: 10.1016/j.jcct.2014.12.003
Abstrakt: A 37-year-old man who recently underwent aortic valve replacement after endocarditis presented with cardiogenic shock. A large expansile pseudoaneurysm was subsequently discovered using multiple imaging modalities. Although transesophageal echocardiography is important in diagnosing valve endocarditis, coronary CT angiography of prosthetic valves is feasible and image quality is good. In this case, coronary CT angiography allowed for better understanding of transesophageal echocardiography images and earlier diagnosis of coronary involvement as cause for left ventricular dysfunction.
(Published by Elsevier Inc.)
Databáze: MEDLINE
Externí odkaz: