PMC6796599_01
A: Parasternal long axis showing dilated aortic root & dilated LV. B: Color Doppler shows severe Aortic Regurgitation.
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ECG showed sinus tachycardia with left ventricular (LV) strain with changes of evolved inferior wall MI. 2D echo showed dilatation of the aortic root and arch with severe AR, dilated LV with LV dysfunction (LVEF 40%), LVDd 6.2 cm2 and LVDs 5.1 cm2 (Fig. 1A & B) Hypokinesia of inferior segments.
A and B: CT Aortogram shows dilated aortic root and ascending aorta which was 45 mm and 58 mm respectively and a dissection flap from just above the Left Main Coronary Artery (LMCA) ostium and involving the proximal segment of Right coronary artery (RCA) extending to the proximal aortic arch.
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CT Aortogram revealed dilated aortic root (45 mm) and ascending aorta (58 mm) with a dissection flap extending from just above the left main coronary artery (LMCA) ostium and involving the proximal segment of right coronary artery (RCA) to the proximal aortic arch (Fig. 2A & B).
A and B: Coronal and Sagittal Multiplanar Reconstruction (MPR) of the 75% phase of the gated CT Aortogram study showing type A aortic dissection extending to the aortic root.
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Aortogram study showing type A aortic dissection extending to the aortic root (Fig. 3A & B). Axial Multiplanar Reconstruction (MPR) of the 45% phase of the gated CT Aortogram study showing the relationship of the intimal flap with the right coronary artery (RCA) and the left main coronary artery (LMCA) (Fig. 4A & B).
A and B: Axial Multiplanar Reconstruction (MPR) of the 45% phase of the gated CT Aortogram study showing the relationship of the intimal flap with the right coronary artery (RCA) and the left main coronary artery (LMCA).
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Aortogram study showing type A aortic dissection extending to the aortic root (Fig. 3A & B). Axial Multiplanar Reconstruction (MPR) of the 45% phase of the gated CT Aortogram study showing the relationship of the intimal flap with the right coronary artery (RCA) and the left main coronary artery (LMCA) (Fig. 4A & B).
Post procedure echo shows normally functioning aortic disc prosthesis, with mild valvular AR & LV dysfunction (EF 40%).
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Post-procedure echo showed normally functioning aortic disc prosthesis, with mild valvular AR with LVEF 40% (Fig. 5).