Supradiaphragmatic Stenosis of the Descending Aorta
Three Different Perspectives
A 40-year-old man was admitted to our institution for evaluation of stenosis of the supradiaphragmatic segment of the descending thoracic aorta that was of unknown pathogenesis. Examination of the stenosis using angiography (Figure 1, Movie I) showed only a small narrowing of the supradiaphragmatic segment. In contrast to the angiographic finding, transesophageal echocardiography (Figure 2, Movie II) showed a large organized thrombus. From the findings of transesophageal echocardiography and MRI (Figure 3, Movie III), a 70% narrowing of the vessel was calculated.
Movies I, II, and III are available as an online-only Data Supplement at http://www.circulationaha.org.
The editor of Images in Cardiovascular Medicine is Hugh A. McAllister, Jr, MD, Chief, Department of Pathology, St Luke’s Episcopal Hospital and Texas Heart Institute, and Clinical Professor of Pathology, University of Texas Medical School and Baylor College of Medicine.
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