case_images: PMC3634256_01
case_images: TRUFI image in the LVOT plane shows the pseudoaneurysm (delineated by open arrows) between aortic root and left atrium with relatively hypointense signal (due to dephasing secondary to turbulence)
case_images: APC-6-80-g001.jpg
case_images: PMC3634256_01_APC-6-80-g001.jpg
case_images: F1
case_images: The aneurysm was seen filling during the systole and emptying during the diastole and showed a swirling flow (manifested by hypo intense signal secondary to rapid dephasing due to turbulent flow); the aortic valve was bicuspid with severe aortic regurgitation and thickening of valve margins [Figure 1 and Videos 1 and 2].
case_images: CT (MPR) image in 3-chamber plane shows the subannular aneurysm (horizontal arrow) between the root of ascending aorta (up arrow) and left atrium (down arrow)
case_images: APC-6-80-g002.jpg
case_images: PMC3634256_01_APC-6-80-g002.jpg
case_images: F2
case_images: The aneurysm was seen filling during the systole and emptying during the diastole and showed a swirling flow (manifested by hypo intense signal secondary to rapid dephasing due to turbulent flow); the aortic valve was bicuspid with severe aortic regurgitation and thickening of valve margins [Figure 1 and Videos 1 and 2]. MRI when the lesion measured 1.7 x 2.5 x 2.7 cm in the same cardiac phase) arising from left ventricular outflow tract below the aortic annulus; the aneurysm was related anteriorly to the aortic root and posteriorly to left atrium [Figures 2 and 3]. Multiphasic images revealed that the aortic valve was bicuspid with thickening of the free edges of the valve and dilation of ascending aorta (measuring 3.9 x 3.9 cm).
case_images: MPR image of MDCT shows the pseudoaneurysm (delineated by arrows)
case_images: APC-6-80-g003.jpg
case_images: PMC3634256_01_APC-6-80-g003.jpg
case_images: F3
case_images: MRI when the lesion measured 1.7 x 2.5 x 2.7 cm in the same cardiac phase) arising from left ventricular outflow tract below the aortic annulus; the aneurysm was related anteriorly to the aortic root and posteriorly to left atrium [Figures 2 and 3]. Multiphasic images revealed that the aortic valve was bicuspid with thickening of the free edges of the valve and dilation of ascending aorta (measuring 3.9 x 3.9 cm).