Aneurysm of the ductus diverticulum in adults The diagnostic value of three-dimensional computed tomographic scanning

Sugimoto, Tsutomu; Takahashi, Tetsuya; Inui, Kiyoshige; Minowa, Takashi; Watanabe, Takao; Shimazaki, Yasuhisa

doi:10.1007/s11748-003-0115-3

Cited by 6 publications

(7 citation statements)

References 5 publications

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“…1 However, with the advance of sophisticated diagnostic imaging, the reported incidence is rising. 10 The DAA is typically located at the minor curvature of the aortic arch opposite the origin of the LSA. 1,10 In the present case, the aneurysm clearly pointed from the aorta toward the left pulmonary artery along the course of the arterial ligament, which is indicated by constriction of the aorta and the left pulmonary artery at the points of insertion (Figure 1).…”

Section: Discussionmentioning

confidence: 99%

“…10 The DAA is typically located at the minor curvature of the aortic arch opposite the origin of the LSA. 1,10 In the present case, the aneurysm clearly pointed from the aorta toward the left pulmonary artery along the course of the arterial ligament, which is indicated by constriction of the aorta and the left pulmonary artery at the points of insertion (Figure 1). Treatment is recommended for aneurysms that are greater than 3 cm, which enlarge over time or which cause symptoms because of the high incidence of complications or even rupture.…”

Section: Discussionmentioning

confidence: 99%

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Endovascular Repair of an Ductus Arteriosus Aneurysm Causing Ortner Syndrome

Runge

Pieper

Schiller

et al. 2014

Vasc Endovascular Surg

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A ductus arteriosus aneurysm (DAA) is a rare but potentially fatal condition in adults. In the past, open surgery was the only available option for treatment. Nowadays, endovascular repair has emerged as a safe and less invasive treatment option for aortic aneurysms. However, there is little experience with DAA and its anatomic location can complicate endovascular repair. Here, we describe the case of a 69-year-old patient who presented with Ortner syndrome caused by DAA, which was successfully treated using a solely endovascular approach and a standard stent graft.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Endovascular Repair of an Ductus Arteriosus Aneurysm Causing Ortner Syndrome

Runge

Pieper

Schiller

et al. 2014

Vasc Endovascular Surg

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“…We found 39 reports of aneurysm of the ductus diverticulum in the literature (Table ). [1][2][3][4][5][6][7][8][9][10][11][23][24][25][26] The aortic end of the ductus diverticulum is patent, whereas the pulmonary end is usually closed. The aneurysm forms as a result of incomplete closure of the ductus arteriosus in its aortic site, from pressure overload, such as hypertension and atherosclerotic changes of aging.…”

Section: Discussionmentioning

confidence: 99%

“…The 3-D CT scan, in which 3 circles are located in a hook shape beneath the aortic arch, is called the "triple star sign," and this finding was reported to be a typical sign of this disease. 5 Sugimoto et al 11 reported that a 2D CT scan is useful for differentiation of aneurysm of the ductus diverticulum from common atherosclerotic aneurysm. Compared with atherosclerotic aneurysm in the distal aortic arch, aneurysm of the ductus diverticulum is located in the minor curvature of the distal aortic arch, at the bifurcation of the left subclavian artery, and the direction of the aneurysm end is toward the top of the left subclavian artery.…”

Section: Discussionmentioning

confidence: 99%

“…Aneurysm of the ductus diverticulum is rare in adults, and most reported cases were repaired with surgery. [1][2][3][4][5][6][7][8][9][10][11] Transluminal endovascular stent-graft placement in patients with thoracic aortic aneurysm is emerging as an attractive alternative to conventional open surgery. 12,13 However, its application is limited to descending thoracic aortic aneurysms distal to the aortic arch.…”

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confidence: 99%

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Successful endovascular repair of an aneurysm of the ductus diverticulum with a branched stent graft: Case report and review of literature

Saito

Kimura

Toma

et al. 2004

Journal of Vascular Surgery

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Aneurysm of the ductus diverticulum rarely has been reported in adults, and the reported aneurysms were treated with conventional open surgery or were diagnosed at autopsy. We report a successful endovascular repair of an aneurysm of the ductus diverticulum with the Inoue branched stent graft. In a 78-year-old woman, an abnormal shadow was noted at the aortopulmonary window on a chest x-ray film. A computed tomography scan demonstrated a 3.8-cm saccular aneurysm, which protruded inferiorly from the distal end of the aortic arch. The aneurysm was considered an aneurysm of the ductus diverticulum, and surgery was required. However, the patient was considered at high risk for respiratory dysfunction with conventional open surgery. Endovascular repair with an Inoue single-branched stent graft was performed with the patient under local anesthesia, successfully and without complication or endoleak. To our knowledge, this is the first report of endovascular treatment of an aneurysm of the ductus diverticulum.

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Incidentally identified ductus arteriosus aneurysm in eight adults: a case series

et al. 2021

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Ductus arteriosus aneurysm (DAA) in adulthood is a rare entity. We retrospectively reviewed our medical records from the past ten years and identified eight cases of adult DAA (six males and two females aged between 69 and 89 years; mean, 76 years), using multi planar reconstruction and three-dimensional reconstruction computed tomography (CT) images. The aneurysm was suspected incidentally in all cases based on the results of chest radiographic screening or postoperative follow-up CT for lung or colon cancer. All eight patients were asymptomatic but had a history of or concurrent hypertension (n = 5, 62.5%), diabetes mellitus (n = 3, 37.5%), cerebrovascular disease (n = 3, 37.5%), ischemic heart disease (n = 1, 12.5%), and cardiac failure (n = 1). All patients had no history of trauma (n = 8, 100%). Six had a history of cigarette smoking. The aneurysm size ranged from 2.0 × 4.0 to 6.3 × 5.3 cm (mean, 3 × 5 cm). The surgical procedures used were four cases of total arch replacement and two cases of thoracic endovascular aortic repair. Two patients were not surgically treated. The median follow-up was 14.5 months (range, 2 months to 9 years). In the two patients who were not surgically treated, the aneurysm enlarged in one, and remained unchanged in the other. Of the six cases surgically-managed cases, one was lost to follow-up, and another patient died of an unrelated cause. The remaining four cases had no enlargement of the aneurysm. No ruptures were reported in any of the cases. DAA should be considered when a saccular aneurysm is located in the minor curvature of the aortic arch and extending toward the left pulmonary trunk in adult patients. Differentiating adult DAA is important, because it is associated with a high risk of rupture due to the fragile nature of true aneurysms.

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Aneurysm of the ductus diverticulum in adults The diagnostic value of three-dimensional computed tomographic scanning

Cited by 6 publications

References 5 publications

Endovascular Repair of an Ductus Arteriosus Aneurysm Causing Ortner Syndrome

Endovascular Repair of an Ductus Arteriosus Aneurysm Causing Ortner Syndrome

Successful endovascular repair of an aneurysm of the ductus diverticulum with a branched stent graft: Case report and review of literature

Incidentally identified ductus arteriosus aneurysm in eight adults: a case series

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