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Fig. 2 | Journal of Cardiothoracic Surgery

Fig. 2

From: Pseudoaneurysm with a fistula to the right ventricle late after surgical repair of type A aortic dissection in a patient with systemic lupus erythematosus

Fig. 2

Preoperative 3DCT images. a Preoperative 3DCT showing a true saccular aneurysm on the lesser curvature side (black arrow) and a proximal anastomotic pseudoaneurysm (red arrow). b The pseudoaneurysm (white arrow) is in close contact with the sternum. c ECG-gated 3DCT is used to visualize the pseudoaneurysm (red arrow) and the previously used artificial graft (“prior graft”). The pseudoaneurysm is not in direct contact with the right coronary artery, with a small distance between them. d The pseudoaneurysm (red arrow) and shunt (yellow arrow) are near the right heart structures. e The Valsalva without the aortic dissection (yellow arrow) is shown with the pseudoaneurysm (red arrow). 3DCT, three-dimensional computed tomography; ECG, echocardiography; SVC, superior vena cava; rt upper PV, right upper pulmonary vein; RA; right atrium. RV; right ventricle; RCA, right coronary artery

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Journal of Cardiothoracic Surgery

ISSN: 1749-8090

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