PMC8841759_01
Transthoracic echocardiography (A,B) and computed tomographic angiogram (C-G) of coronary arteries, aorta, and its major branches. The contrast CT and color ultrasound showed multiple areas of arterial dilation in the aorta, coronary artery, bilateral carotid arteries, subclavian artery, brachiocephalic artery, innominate artery, and bilateral axillary arteries as well as compressed and narrowed jugular and left brachiocephalic veins with backflow obstruction.
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Transthoracic echocardiography (TTE) revealed moderate mitral valve and tricuspid regurgitation, mild aortic regurgitation, giant sinus of Valsalva (SoV) aneurysms, particularly of the right coronary sinus (RCS) (Figure 1A), and a left main coronary artery (LMCA) aneurysm with the broadest diameter being about 7.9 mm (Figure 1B). A further computed tomographic angiogram (CTA) was obtained, which demonstrated multiple arterial aneurysms involving SoV, as well as LMCA (Figures 1C,D), aorta, and its major branches (Figures 1E-G).