Incidental detection of a giant ductus arteriosus aneurysm by low-dose multidetector computed tomography in an asymptomatic adult

Andreini, Daniele; Bartorelli, Antonio L.; Dainese, Luca; Fusari, Melissa; Biglioli, Paolo

doi:10.1016/j.jvs.2009.11.051

Cited by 6 publications

(8 citation statements)

References 20 publications

(23 reference statements)

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“…Large ductus arteriosus aneurysms may be incidental CT findings or may present with mass-effect symptoms, as in Case 1 and are associated with life- threatening complications, such as rupture, infection and thromboembolism. 11 In addition to the aortopulmonary region, the vascular components of the carotid space are also subject to a variety of pathologies.…”

Section: Discussionmentioning

confidence: 99%

Vascular Causes of Dysphonia: A Case Series with Different Etiologies

Spadafora

Esposito

Giannitto

et al. 2021

RMI

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Dysphonia is a frequent and often disabling condition that can be caused by a multitude of circumstances. Differential diagnosis of dysphonia comprehends many different etiologies and many causative agents (neoplasms, inflammations, traumatic injuries) that can occur in a large anatomical space (from the encephalic trunk to the upper mediastinum). It is fundamental to remember that vascular etiologies are responsible for some rare cases of dysphonia. In the radiological database of two urban academic hospitals, from 2012 to 2020, we sought patients who underwent CT or MRI for dysphonia, selecting only the ones with an underlying clinically confirmed vascular etiology. We present three emblematic cases with different vascular etiologies: a ductus arteriosus aneurysm, a left internal carotid artery dilatation, a laryngeal arteriovenous malformation (AVM). Vascular causes of dysphonia are rare, but especially in these cases an accurate and prompt diagnosis is fundamental, in particular considering that the underlying cardiovascular anomaly can often pose a higher risk for the patient than the hoarseness itself. Diagnostic imaging plays a fundamental role in detecting the most common causes of dysphonia but it is very important that radiologists take the vascular causes into account so as not to miss them and to obtain a correct diagnosis.

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Section: Discussionmentioning

confidence: 99%

Vascular Causes of Dysphonia: A Case Series with Different Etiologies

Spadafora

Esposito

Giannitto

et al. 2021

RMI

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“…In our study, all patients were asymptomatic, and an aneurysm was suspected incidentally as a result of a regular health checkup or during follow-up for other conditions. Pontone et al showed DAA can be found incidentally by chest CT. 20 Pastuszko et al reported that hoarseness of voice resulting from compression of the laryngeal nerve is a common sign of adult DAA. 15 Dyspnea, cough, chest pain, and dysphagia due to mechanical compression as well as bloody sputum and hemoptysis may also occur and are possible signs of rupture into the airway and esophagus.…”

Section: Discussionmentioning

confidence: 99%

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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“…But in this patient, although there were some echocardiographic changes in the nature of the PDA unfortunately was not diagnosed through serial echocardiographic followup until after the second trail for PDA closure through catheterization then we found that the PDA have gone through aneurysmal dilatation at the pulmonary end, probably such aneurysmal change was unexpected over this 14 months, rapidly checked and missed. In adult patient, a limited acoustic window may impair detail evaluation of this region by echocardiography and color Doppler may be unable to detect a DAA when there is no left-to-right shunting [36].…”

Section: Discussionmentioning

confidence: 99%

Aneurysmal changes in silent patent ductus arteriosus in a child (year time follow-up)

Salih¹,

Qadir²

2017

IJCRI

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International Journal of Case Reports and Images (IJCRI) is an international, peer reviewed, monthly, open access, online journal, publishing high-quality, articles in all areas of basic medical sciences and clinical specialties.Aim of IJCRI is to encourage the publication of new information by providing a platform for reporting of unique, unusual and rare cases which enhance understanding of disease process, its diagnosis, management and clinico-pathologic correlations. IJCRI publishes

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Incidental detection of a giant ductus arteriosus aneurysm by low-dose multidetector computed tomography in an asymptomatic adult

Cited by 6 publications

References 20 publications

Vascular Causes of Dysphonia: A Case Series with Different Etiologies

Vascular Causes of Dysphonia: A Case Series with Different Etiologies

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

Aneurysmal changes in silent patent ductus arteriosus in a child (year time follow-up)

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