1. CASE PRESENTAION
DR.ANJU CHAUDHARY
BJMC

2. CASE -1
48 years old female came with complaint of breathlessness science 1week and dull aching chest pain.

3. topogram

10. FINAL DIAGNOSIS
Partially thrombosed saccular aortic aneurysm arising from inferior surface of aortic arch.

11. 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

12. 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

13. CASE - 2
22 Year old female patient presented with complaining uncontrolled hypertension and absent pulse in radial artery.

20. diagnosis
Aortoartritis – TAKAYASU

21. CASE-3
50 year old female presented with dyspnoea, chest pain and palpitations acute onset. The patient is known to suffer from hypertension.

30. 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).

31. THANK YOU.....