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CASE PRESENTAION DR.ANJU CHAUDHARY BJMC
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CASE -1 48 years old female came with complaint of breathlessness science 1week and dull aching chest pain.
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topogram
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FINAL DIAGNOSIS Partially thrombosed saccular aortic aneurysm arising from inferior surface of aortic arch.
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Important points.. morphology
maximum transverse diameter of the aneurysmal sac must be measured perpendicular to the longitudinal aortic axis keep in mind that an aneurysm never decreases in size! longitudinal length shape (saccular/fusiform/eccentric) any major kink upper extent, relative to the renal arteries lower extent, including extension into any branches any side or visceral branches arising from the aneurysm
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complications relevant anatomy signs of impending rupture
branch-vessel dissection end vessel infarct (e.g. renal or splenic infarct) relevant anatomy diameters of the common femoral artery (CFA) and external iliac artery (EIA) for the planning of endovascular treatment presence of aberrant renal veins (e.g. retroaortic or circumaortic left renal vein) presence of accessory renal arteries
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CASE - 2 22 Year old female patient presented with complaining uncontrolled hypertension and absent pulse in radial artery.
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diagnosis Aortoartritis – TAKAYASU
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CASE-3 50 year old female presented with dyspnoea, chest pain and palpitations acute onset. The patient is known to suffer from hypertension.
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FINAL DIAGNOSIS An intimal flap is seen extending from the aortic root proximally to below the origin of the renal arteries distally dividing the aortic lumen into true and false lumens (Stanford Type A and type I DeBakey classification).
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THANK YOU.....
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