PMC9997478_01
Two-dimensional transthoracic echocardiographic suprasternal window revealing vegetation (V) in the aortic arch, pseudoaneurysm (P) in the greater curvature between the innominate artery and left subclavian artery (LSCA) obstructing left common carotid artery (LCCA) with the unaffected descending thoracic aorta (DTA)
ACA-26-94-g001.jpg
PMC9997478_01_ACA-26-94-g001.jpg
F1
The suprasternal aortic arch view on TTE revealed a left aortic arch with two vegetations in the aortic arch measuring 1.3 cm x 0.7 cm and 0.6 cm x 0.5 cm, respectively, and a pseudoaneurysm was found at the greater curvature of the arch involving the origin of the left common carotid artery [Figure 1, Video 1].
Two-dimensional transthoracic echocardiographic suprasternal window with color Doppler interrogation revealing flow turbulence in the aortic arch. V: vegetation; P: pseudoaneurysm; LSCA: left subclavian artery; LCCA: left common carotid artery; DTA: descending thoracic aorta
ACA-26-94-g002.jpg
PMC9997478_01_ACA-26-94-g002.jpg
F2
On color Doppler interrogation, flow turbulence was illustrated [Figure 2, Video 2].
Post-operative two-dimensional transthoracic echocardiographic suprasternal arch view with color Doppler interrogation displaying patency of reconstructed arch and arch vessel
ACA-26-94-g003.jpg
PMC9997478_01_ACA-26-94-g003.jpg
F3
TTE revealed mild aortic regurgitation and patent neo-aorta with arch vessels [Figure 3, Video 3].