PMC8086671_01
A. Transesophageal echocardiography, focal thickening of the ascendens aorta wall (arrows) before treatment; B. Transesophageal echocardiography, thickening of the wall of the aortic arch and proximal parts of its branches (arrows) before treatment; C. TrueFisp magnetic resonance examinations imaging of ascending aorta, note a semilunar thickening of the aortic wall before treatment (arrows); D. Mulitdetector computed tomography multiplanar reconstruction demonstrating a thickening of the wall of the ascending aorta and aortic arch before treatment; E. Mulitdetector computed tomography after treatment; F. TrueFisp magnetic resonance examination imaging after treatment; G. Delayed enhancement magnetic resonance examination imaging, note regions of the enhancement of the wall of the ascending aorta; H. Delayed enhancement magnetic resonance examinations imaging, note regions of the enhancement of the wall of the aortic arch and its branches.
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Echocardiography revealed severe aortic regurgitation with moderately decreased left ventricular ejection fraction and thickening of the wall of the ascendens aorta (Fig. 1A, B). Aortic wall involvement was confirmed by mulitdetector computed tomography, magnetic resonance examinations, and positron emission tomography (Fig. 1C, D, Suppl. Control mulitdetector computed tomography and magnetic resonance examinations revealed only partial withdrawal of the primary changes in the aorta (Fig. 1E, F) with regions of delayed enhancement in the wall of her ascendens aorta, aortic arch and its branches (Fig. 1G, H).