Thickness of the aortic wall. Multimaging utility in differential dignosis
DOI:
https://doi.org/10.37615/retic.v4n2a10Keywords:
Giant cell arteritis, aortic pathology, cardiac thrombus., aortitis, aortic hematoma.Abstract
A 68-year-old hypertensive female patient consulted for nonspecific chest discomfort with a normal electrocardiogram. The echocardiogram revealed aortic dilation with moderate aortic regurgitation and aortic wall thickening, without regional disorders of parietal motility. A transesophageal echocardiogram was performed, ruling out acute aortic syndrome. An angiotomography evaluation was done, suggesting an inflammatory process in the aorta and ruling out coronary involvement. For better tissue characterization of the aortic wall, gadolinium-enhanced MRI was requested, which was compatible with aortitis. The data from the clinical and laboratory history oriented the diagnosis to Giant Cell Arteritis, and treatment was started with good response.
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Copyright (c) 2021 Carla Leticia Pessio, Ivan Constantin, Maria Celeste Carrero, Luciano de Stefano, Pablo Stutzbach
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