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9 results on '"aortic diverticulum"'

1. Infective endocarditis with anomalous origin of coronary arteries and an abnormal aortic root bulge: A case report

Author

Guoliang Yang, Xiaoyue Lai, Chunshui Liang, Weijie Fan, Wanlei Fu, Zheng Liu, and Hongmei Xia

Subjects
aortic diverticulum, infective endocarditis, echocardiography, computed tomography, anomalous origin of the coronary artery, Diseases of the circulatory (Cardiovascular) system, RC666-701
Abstract

BackgroundThe aortic bulge sign possibly indicates an arterial aneurysm, pseudoaneurysm, aortic dissection, or aortic diverticulum. The aortic diverticulum is a congenital abnormality of the aorta, mainly known as an aneurysmal remnant of the dorsal fourth aortic arch or ductus arteriosus. However, the diverticulum of another part of the aorta has rarely been reported.Case summaryWe report a case of a 24-year-old male with a history of oral ulcer presented with recurrent hyperpyrexia and chest pain. Echocardiography and computed tomography showed the anomalous origin of the coronary arteries, aortic valve vegetations, and a bulge at the aortic root. The patient then received a Bentall procedure. The aorta and aortic valves were replaced by a valved conduit. The bulge with a normal arterial wall at the aortic root was considered to be a diverticulum. The infective endocarditis was verified as a secondary oral-derived streptococcal infection. The patient was discharged 15 days after surgery. Post-operative echocardiography had no positive findings.ConclusionOur case report highlights the role of multimodal cardiovascular imaging for the diagnostic workup of rare disorders, such as the presence of a diverticulum in the aortic root in a patient with endocarditis and anomalous origin of the right coronary artery.

Published
2023
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2. Infective endocarditis with anomalous origin of coronary arteries and an abnormal aortic root bulge: A case report.

Author

Yang G, Lai X, Liang C, Fan W, Fu W, Liu Z, and Xia H

Abstract

Background: The aortic bulge sign possibly indicates an arterial aneurysm, pseudoaneurysm, aortic dissection, or aortic diverticulum. The aortic diverticulum is a congenital abnormality of the aorta, mainly known as an aneurysmal remnant of the dorsal fourth aortic arch or ductus arteriosus. However, the diverticulum of another part of the aorta has rarely been reported., Case Summary: We report a case of a 24-year-old male with a history of oral ulcer presented with recurrent hyperpyrexia and chest pain. Echocardiography and computed tomography showed the anomalous origin of the coronary arteries, aortic valve vegetations, and a bulge at the aortic root. The patient then received a Bentall procedure. The aorta and aortic valves were replaced by a valved conduit. The bulge with a normal arterial wall at the aortic root was considered to be a diverticulum. The infective endocarditis was verified as a secondary oral-derived streptococcal infection. The patient was discharged 15 days after surgery. Post-operative echocardiography had no positive findings., Conclusion: Our case report highlights the role of multimodal cardiovascular imaging for the diagnostic workup of rare disorders, such as the presence of a diverticulum in the aortic root in a patient with endocarditis and anomalous origin of the right coronary artery., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2023 Yang, Lai, Liang, Fan, Fu, Liu and Xia.)

Published
2023
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3. Thoracoscopic Oesophagectomy Using Prone Positioning for Oesophageal Cancer With Right Aortic Arch: A Case Report

Author

Hiroshi Edagawa, Atsushi Tomibayashi, Hiroshi Okitsu, Ryotaro Tani, Yasuhiro Yuasa, Yuta Matsuo, Daisuke Matsumoto, Osamu Mori, Masakazu Goto, and Shunsuke Kuramoto

Subjects
Aortic arch, Male, Cancer Research, medicine.medical_specialty, Esophageal Neoplasms, Computed Tomography Angiography, medicine.medical_treatment, Aorta, Thoracic, Aortography, Patient Positioning, medicine.artery, Prone Position, Medicine, Humans, Aged, Surgical team, business.industry, Thoracoscopy, Cancer, Mediastinum, Vascular ring, General Medicine, medicine.disease, Neoadjuvant Therapy, Surgery, Aortic diverticulum, Esophagectomy, Prone position, medicine.anatomical_structure, Treatment Outcome, Oncology, Chemotherapy, Adjuvant, Lymph Node Excision, Lymphadenectomy, business
Abstract

BACKGROUND/AIM Right aortic arch (RAA) is a rare abnormality of the aortic arch that forms a vascular ring. Oesophageal cancer (EC) accompanied with RAA is even rarer, and in such cases, it is very important to understand the anatomical structure in the upper mediastinum in order to perform a safe and curative operation. PATIENTS AND METHODS A 67-year-old man who presented with pharyngeal discomfort was admitted to our hospital. Further examinations revealed advanced thoracic EC accompanied with RAA and aortic diverticulum. RESULTS After neoadjuvant chemotherapy, we successfully and safely performed thoracoscopic oesophagectomy and lymphadenectomy using the prone positioning. CONCLUSION There exist only a few reports of thoracoscopic oesophagectomy for EC with RAA. Sufficient preoperative preparation and sharing an adequate strategy for the surgical approach with the surgical team are definitely necessary. Although the thoracoscopic approach for EC with RAA is useful, more considerations are needed for some issues.

Published
2019

4. Hoarseness Due to Right Vocal Cord Paralysis Associated with Aortic Diverticulum from Right Aortic Arch—A Rare and Unusual Vascular Etiology of Right Vocal Cord Paralysis

Author

Sanjay Arora, Seema Elina Punnoose, Produl Hazarika, Raghavendra K. Itgampalli, Ramagowdanapura Sadashivan Diesh, and Rohit Singh

Subjects
Aortic arch, medicine.medical_specialty, business.industry, medicine.disease, Surgery, Aortic diverticulum, Otorhinolaryngology, medicine.artery, otorhinolaryngologic diseases, Etiology, Paralysis, Medicine, Vocal cord paralysis, medicine.symptom, business, Diverticulum, Right vocal cord
Abstract

Right vocal cord paralysis in our present case was diagnosed on clinical and radiological examination which is precipitated by an anomalous right aortic arch with diverticulum. This is a very uncommon vascular etiology of hoarseness and is extremely rare. Because of this rarity, the practicing otolaryngologist may miss this finding while evaluating a case of idiopathic right vocal cord paralysis. Thus, the authors feel that idiopathic or unexplained right vocal cord paralysis should be routinely investigated with a CT or MRI of neck and chest with or without contrast to avoid such shortcomings. There is only one such case of right vocal cord paralysis by right aortic which has been reported earlier in literature.

Published
2015

5. Rupture of an aneurysmal aortic diverticulum associated with coarctation and bicuspid aortic valve

Author

Xu Yu Jin, Stephen Westaby, Balakrishnan Mahesh, J.M.T. Perkins, William M. Bradlow, Raman Uberoi, and James D. Newton

Subjects
Adult, Male, medicine.medical_specialty, Vascular disease, Arterial disease, business.industry, Aortic Rupture, medicine.disease, Aortic disease, Aortic Coarctation, Surgery, Aortic diverticulum, Diverticulum, Bicuspid aortic valve, Physiology (medical), Internal medicine, medicine, Cardiology, Humans, Mitral Valve, Congenital disease, Cardiology and Cardiovascular Medicine, business
Published
2016

6. Cardiac pheochromocytoma: A new case reported

Author

Gustavo Knop and Roberto Margaria

Subjects
Adult, Aortic dissection, Aortic arch, Pulmonary and Respiratory Medicine, medicine.medical_specialty, medicine.diagnostic_test, business.industry, Magnetic resonance imaging, Pheochromocytoma, Dissection (medical), medicine.disease, Surgery, Heart Neoplasms, Aortic diverticulum, Hematoma, medicine.artery, Descending aorta, medicine, Humans, Female, Nuclear medicine, business, Cardiology and Cardiovascular Medicine
Abstract

1. Cina CS, Althani H, Pasenau J, Abouzahr L. Kommerell’s diverticulum and right-sided aortic arch: a cohort study and review of the literature. J Vasc Surg. 2004;39:131-9. 2. Kapustin AJ, Litt HI. Diagnostic imaging for aortic dissection. Semin Thorac Cardiovasc Surg. 2005;17:214-23. 3. Flachskampf FA. Assessment of aortic dissection and hematoma. Semin Cardiothorac Vasc Anesth. 2006;10:83-8. 4. Eltzschig HK, Rosenberger P, Lekowski RW Jr, Scott JD, Locke A, Shekar PS, et al. Role of transesophageal echocardiography in patients with suspected aortic dissection. J Am Soc Echocardiogr. 2005;18: 1221. 5. Ko SF, Ng SH, Fu M, Lo PH, Cheng YF, Lee TY. Dissection of retroesophageal aortic diverticulum and descending aorta in a patient with right aortic arch: magnetic resonance demonstration. Cardiovasc Intervent Radiol. 1996;19:438-41.

Published
2006
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7. Vascular ring causing symptomatic tracheal compression in adulthood

Author

Philippe Dartevelle, Paolo Macchiarini, Alain Chapelier, Elie Fadel, and Jacques Cerrina

Subjects
Pulmonary and Respiratory Medicine, Aortic arch, Adult, medicine.medical_specialty, medicine.medical_treatment, Aortic Diseases, Aorta, Thoracic, medicine.artery, medicine, Humans, TRACHEAL COMPRESSION, business.industry, Vascular ring, medicine.disease, Symptomatic relief, Surgery, Aortic diverticulum, Diverticulum, Dyspnea, Amputation, Descending aorta, cardiovascular system, Female, Cardiology and Cardiovascular Medicine, Complication, business
Abstract

A 32-year-old woman was referred for evaluation of a 3-year history of exertion dyspnea. An anomalous vascular ring created by a right aortic arch with mirror-image branching, left descending aorta, and aortic diverticulum narrowed the trachea circumferentially. This feature was surgically approached through a right posterolateral thoracotomy, and simple amputation of the aortic diverticulum resulted in immediate symptomatic relief.

Published
1995

8. Right Aortic Arch With Multiple Ligamentum Arising From Kommerell’s Aortic Diverticulum

Author

Christopher W. Baird and Larry T. Watts

Subjects
Adult, Pulmonary and Respiratory Medicine, Aortic arch, medicine.medical_specialty, Arterial disease, Aortic Diseases, Aorta, Thoracic, Pulmonary Artery, Risk Assessment, Severity of Illness Index, Aortic disease, medicine.artery, Humans, Medicine, Aorta, business.industry, Follow up studies, Anatomy, medicine.disease, Echocardiography, Doppler, Surgery, Aortic diverticulum, Diverticulum, Treatment Outcome, Thoracotomy, Female, Congenital disease, Deglutition Disorders, Tomography, X-Ray Computed, Cardiology and Cardiovascular Medicine, business, Follow-Up Studies
Published
2008

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