We present chest radiographs, echocardiographic image, and selective coronary angiogram of an 18-year old patient with Hutchinson-Gilford progeria syndrome.
We present radiographic images of ring-calcification of a giant aneurysm of the left main coronary artery in a child, 7 years after the initial diagnosis of Kawasaki disease, as well as acute medical management and surgical bypass of the obstructed left anterior descending coronary artery.
We present three-dimensional reconstructed images of the vascular ring of a 4-day-old extremely premature neonate which were obtained utilizing multidetector computer tomography. This is a unique case of early detection of Kommerell's diverticulum and vascular ring in an extremely low-birth-weight infant using this noninvasive technology.
Background:Bilateral fenestration of the A1 segment of anterior cerebral artery (ACA) is an uncommon anomaly. Our objective is to describe two cases with this anomaly and to review the literature.Case Description:A 50-year-old woman presented with subarachnoid hemorrhage from a ruptured A1 aneurysm. Angiography revealed bilateral A1 segment fenestration as well as an aneurysm on the proximal end of fenestration on the right side. The second case is that of an 86-year-old woman who was found to have bilateral fenestration of A1 segment at autopsy.Conclusion:Bilateral A1 fenestration is an uncommon anomaly that may be associated with an aneurysm. In surgical clipping of such cases, extreme caution should be exercised to inspect both arms of the fenestration since both may have multiple perforators as demonstrated in our autopsy specimen. This will be the first published pictorial demonstration of these perforators arising from the arms of fenestration.
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