Saccular Ascending Aorta Aneurysm: A Rare Clinical Occurrence
Published: 2023-06-15
Page: 217-223
Issue: 2023 - Volume 6 [Issue 1]
H. Bendahou
Department of Cardiology P37, Ibn Rochd University Hospital, Casablanca, Morocco.
M. Njie *
Department of Cardiology P37, Ibn Rochd University Hospital, Casablanca, Morocco.
S. Zahri
Department of Cardiology P37, Ibn Rochd University Hospital, Casablanca, Morocco.
A. Abouriche
Department of Cardiology P37, Ibn Rochd University Hospital, Casablanca, Morocco.
M. Haboub
Department of Cardiology P37, Ibn Rochd University Hospital, Casablanca, Morocco and Faculty of Medicine and Pharmacy, Hassan II University of Casablanca, Casablanca, Morocco.
S. Arous
Department of Cardiology P37, Ibn Rochd University Hospital, Casablanca, Morocco and Faculty of Medicine and Pharmacy, Hassan II University of Casablanca, Casablanca, Morocco.
G. Bennouna
Department of Cardiology P37, Ibn Rochd University Hospital, Casablanca, Morocco and Faculty of Medicine and Pharmacy, Hassan II University of Casablanca, Casablanca, Morocco.
A. Drighil
Department of Cardiology P37, Ibn Rochd University Hospital, Casablanca, Morocco and Faculty of Medicine and Pharmacy, Hassan II University of Casablanca, Casablanca, Morocco.
L. Azzouzi
Department of Cardiology P37, Ibn Rochd University Hospital, Casablanca, Morocco and Faculty of Medicine and Pharmacy, Hassan II University of Casablanca, Casablanca, Morocco.
R. Habbal
Department of Cardiology P37, Ibn Rochd University Hospital, Casablanca, Morocco and Faculty of Medicine and Pharmacy, Hassan II University of Casablanca, Casablanca, Morocco.
*Author to whom correspondence should be addressed.
Abstract
The saccular aneurysm at the level of the ascending aorta is an extremely rare clinical entity, considered as an effusion of part of the aortic circumference. This entity is often asymptomatic, and the pathophysiological mechanism is still poorly understood.
We describe two unusual clinical cases of saccular aneurysms of the ascending aorta, the first revealed fortuitously following hospitalization for a hemorrhagic accident with vitamin K antagonists and the second following a complication of a severe aortic insufficiency. Our experience confirms the fundamental role of modern cardiac imaging techniques in the differential diagnosis of these unusual cases and in planning the correct surgical intervention.
Keywords: Saccular aortic aneurysm, transthoracic echocardiography, CT angiography MRI, aortoplasty