PMC7497865_01
Transthoracic echocardiogram image in parasternal view showing severe aortic regurgitation by color flow Doppler.
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Transthoracic echocardiogram (TTE) showed a moderately dilatated left ventricle (LV) with LV ejection fraction of 50% and tricuspid aortic valve with severe AR by color-flow Doppler (Figure 1).
Transthoracic echocardiogram image in parasternal view of aortic valve in opening position and intimal flap in supravalvular position (both indicated by white arrowheads).
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Both his aortic root and sinuses of Valsalva were severely dilated to 5.6 and 6.8 cm respectively with intimal flaps from aortic dissection in the aortic root (Figures 2 and 3).
Transthoracic echocardiogram image in 5-chamber view showing severely dilated aortic root with intimal flap mimicking congenital supravalvular membrane.
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Both his aortic root and sinuses of Valsalva were severely dilated to 5.6 and 6.8 cm respectively with intimal flaps from aortic dissection in the aortic root (Figures 2 and 3).
Sagittal view of chest computed tomography angiography showing a large proximal ascending aortic aneurysm, tapering down to normal dimension in distal ascending aorta. Arrowheads indicate intimal flaps.
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Chest computed tomography (CT) with contrast revealed severely dilated aortic root and proximal ascending aorta with maximal diameter of 6.4 cm extending for 8 cm before tapering quickly to normal dimension in the distal ascending aorta (Figure 4).
Coronal view of chest computed tomography angiography showing a large proximal, ascending aortic aneurysm. Arrowheads points to intimal flaps mimicking congenital supravalvular members.
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Within the large aortic aneurysm, there were intimal flaps consistent with aortic dissection (Figures 5 and 6).
Axial view of chest computed tomography angiography showing dilated ascending aorta. Arrowheads indicate intimal flap.
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Within the large aortic aneurysm, there were intimal flaps consistent with aortic dissection (Figures 5 and 6).