Pseudoaneurysm of the abdominal aorta: evaluation with virtual angioscopy of spiral-CT data sets

Eur Radiol. 1999;9(6):1227-30. doi: 10.1007/s003300050823.

Abstract

We describe a case of graft-related pseudoaneurysm of the abdominal aorta evaluated with spiral CT and DSA. Spiral CT data sets were processed to obtain surface-rendered internal views (virtual angioscopy, VA) of the graft and the pseudoaneurysm, and to demonstrate from inside the lumen the site of dehiscence. A jet flow phenomenon inside the pseudoaneurysm was observed at DSA. Spiral-CT axial images, multiplanar volume reconstructions with maximum intensity projections, and shaded surface display showed the site of rupture. The VA findings were: (a) from inside the graft lumen, the evidence of a communication canal between the graft and the pseudoaneurysm; and (b) from inside the pseudoaneurysm, the presence of a jet flow. The VA findings showed good correlation with those obtained with the other imaging techniques.

Publication types

  • Case Reports

MeSH terms

  • Aneurysm, False / diagnostic imaging*
  • Aneurysm, False / etiology
  • Angiography, Digital Subtraction
  • Angioscopy*
  • Aortic Aneurysm, Abdominal / diagnostic imaging*
  • Aortic Aneurysm, Abdominal / surgery
  • Blood Vessel Prosthesis Implantation
  • Humans
  • Image Processing, Computer-Assisted
  • Male
  • Middle Aged
  • Surgical Wound Dehiscence / diagnostic imaging
  • Tomography, X-Ray Computed*
  • User-Computer Interface