PMC8728688_01
CT angiogram of the aorta with contrast revealing the pseudoaneurysm measuring 2.4x1.5 cm (as pointed by the arrow).
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CT angiography of the chest (Figures 1 and 2), however, revealed a focal pseudo aneurysm (2.4x1.5 cm) located in the right anterior wall of the ascending thoracic aorta, 2.5 cm superior to the aortic valve, with the neck of the pseudoaneurysm measuring 1.1 cm.
3-D CT angiogram of the aorta and its major branches, with arrow pointing towards the pseudoaneurysm.
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CT angiography of the chest (Figures 1 and 2), however, revealed a focal pseudo aneurysm (2.4x1.5 cm) located in the right anterior wall of the ascending thoracic aorta, 2.5 cm superior to the aortic valve, with the neck of the pseudoaneurysm measuring 1.1 cm.
Intraoperative view - revealing dense pericardial adhesions, purulent material (indicated by the arrow) over the aortic root and anterior wall of the right ventricle, and ascending aortic pseudoaneurysm.
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The patient was admitted to the hospital to complete the work up, and subsequently he underwent surgical ascending aortic repair and pericardial debridement (Figure 3).
Histopathology view of the biopsy revealing necrotic granulomatous lesion (arrow pointing towards the necrotic granuloma) - with multinucleated giant cells surrounding central necrosis.
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A tissue biopsy was taken and sent for microbiological and histobiological analysis (Figure 4).