Ascending aorta pseudoaneurysm simulating mediastinal lymphoma in computed tomography, a possible diagnostic error: a case report

Bibliographic Details
Title: Ascending aorta pseudoaneurysm simulating mediastinal lymphoma in computed tomography, a possible diagnostic error: a case report
Authors: Marcello Chiocchi, Luigi Spiritigliozzi, Federica Di Tosto, Leonardo Benelli, Francesca D’Errico, Matteo Presicce, Luca Pugliese, Francesca Ricci, Vincenzo De Stasio, Carlo Di Donna, Monia Pasqualetto, Dionisio Ferdinando Colella, Roberto Floris
Source: Journal of Medical Case Reports, Vol 14, Iss 1, Pp 1-9 (2020)
Publisher Information: BMC, 2020.
Publication Year: 2020
Collection: LCC:Medicine
Subject Terms: Aortic pseudoaneurysm, Marfan syndrome, Computed tomography, Transesophageal echocardiogram, Mediastinal lymphoma, Medicine
More Details: Abstract Background An ascending aortic pseudoaneurysm is a severe and rare complication following cardiothoracic surgery. This case report demonstrates its possible misinterpretation and the consequent importance of multidisciplinary evaluation. Case presentation We present a case of an 18-year-old Caucasian man with Marfan syndrome who developed an ascending aortic pseudoaneurysm about 1 year after undergoing cardiac surgery with the Bentall procedure. Computed tomographic examination of the thoracic aorta and positron emission tomography–computed tomography initially suggested a lymphomatous pathology. However, these imaging results were in contrast to the transesophageal echocardiogram and the laboratory data that showed negative results for hematological pathology. A second computed tomographic scan redirected the diagnosis toward a pseudoaneurysm. Conclusion This case demonstrates the utility of close communication and interdisciplinary consultation between cardiovascular radiologists and the cardiac surgery team, which are mandatory in order to maximize their diagnostic skills in identifying postoperative complications.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1752-1947
Relation: http://link.springer.com/article/10.1186/s13256-020-02465-y; https://doaj.org/toc/1752-1947
DOI: 10.1186/s13256-020-02465-y
Access URL: https://doaj.org/article/3bd4b304de1945539a3b4f0efd06e472
Accession Number: edsdoj.3bd4b304de1945539a3b4f0efd06e472
Database: Directory of Open Access Journals
Full text is not displayed to guests.
More Details
ISSN:17521947
DOI:10.1186/s13256-020-02465-y
Published in:Journal of Medical Case Reports
Language:English