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Eur J Cardiothorac Surg 2008;34:1250. doi:10.1016/j.ejcts.2008.08.028
Copyright © 2008, European Association for Cardio-thoracic Surgery. Published by Elsevier. All rights reserved.
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Images in cardio-thoracic surgery

Pseudoaneurysm of aortic arch caused by penetration of fish bone

Xiao-Dan Ye, Zheng Yuan, Hui-Min Li, Xiang-Sheng Xiao*

Department of Radiology, affiliated Changzheng Hospital, The Second Military Medical University, 415 Feng Yang Road, Shanghai 200003, PR China

Received 4 April 2008; received in revised form 25 July 2008; accepted 20 August 2008.

* Corresponding author. Tel.: +86 21 6361 0109; fax: +86 21 6358 7668. (Email: yxd1982{at}sina.com).

Key Words: CT • Pseudoaneurysm • Aortic arch

A 57-year-old woman was admitted after ingesting a fish bone. Chest CT scans showed a pseudoaneurysm of aortic arch caused by penetration of a fish bone (Figs. 1 and 2 ). The patient was operated on and pathologic evaluation by microscopy revealed fibrotic-granulation tissue, which confirmed the diagnosis of pseudoaneurysm.


Figure 1
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  		Fig. 1. Axial image shows the characteristic location and appearance of a pseudoaneurysm of the aortic arch. Mediastinal infection and oesophagitis were also seen on the image.

 

Figure 2
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  		Fig. 2. Volume rendering (VR) reconstruction showing contrast medium leaking from the defect in the right wall of aortic arch.

 





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