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. 2012 Jul;14(3):1-5.

Gastric pseudoaneurysm in the setting of Loey's Dietz Syndrome

Affiliations

Gastric pseudoaneurysm in the setting of Loey's Dietz Syndrome

Ml Likes et al. Images Paediatr Cardiol. 2012 Jul.
No abstract available

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Figures

Figure 1
Figure 1
A 3.83 cm by 3.69cm echo dark structure is seen within the liver on subcostal echocardiographic imaging of the descending abdominal aorta (Dao).
Figure 2
Figure 2
Abdominal CT axial image demonstrating the large heterogenous mass or pseudoaneurysm (arrow) between the stomach and the liver. It measures 3.9 cm (anterior-posterior) × 5.3 cm (transverse) × 4.3 cm (cranio-caudal).
Figure 3
Figure 3
CT scout image demonstrating the mass vs pseudoaneurysm (arrow). Contrast seen on this image is from a recent prior outside CT scan.
Figure 4
Figure 4
CT axial images showing a small branch off the left gastric artery entering the left anterior aspect of the mass (arrow).
Figure 5
Figure 5
Abdominal ultrasound showing the pseudoaneurysm to measure 4.4 cm × 3.98 cm in this plane.
Figure 6
Figure 6
Color Doppler demonstrating flow into the pseudoaneurysm.
Figure 7
Figure 7
Selective angiogram demonstrating flow into the left gastric artery and feeder vessel (black arrowheads) filling the large pseudoaneurysm (white arrows).
Figure 8
Figure 8
Selective angiogram after placement of GDC coils (arrow) with no flow seen to the left gastric artery.

References

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    1. Kalra VB, Gilbert JW, Malhotra A. Loeys-Dietz syndrome: Cardiovascular, neuroradiological and musculoskeletal imaging findings. Pediatr Radiol. 2011;41(12):1495–1504. - PubMed
    1. Loeys BL, Chen J, Neptune ER, et al. A syndrome of altered cardiovascular, craniofacial, neurocognitive and skeletal development caused by mutations in TGFBR1 or TGFBR2. Nat Genet. 2005;37(3):275–281. - PubMed
    1. Loeys BL, Schwarze U, Holm T, et al. Aneurysm syndromes caused by mutations in the TGF-beta receptor. N Engl J Med. 2006;355(8):788–798. - PubMed
    1. Williams JA, Loeys BL, Nwakanma LU, et al. Early surgical experience with Loeys-Dietz: A new syndrome of aggressive thoracic aortic aneurysm disease. Ann Thorac Surg. 2007;83(2):S757–63. - PubMed

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