Published in:
01-06-2018 | Images in Anesthesia
Mobile ascending aortic mass presenting as acute myocardial infarction
Published in: Canadian Journal of Anesthesia/Journal canadien d'anesthésie | Issue 6/2018
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A 56-yr-old (62 kg) man (who provided written consent to publish this report) with no documented medical history presented to the emergency department after eight hours of chest pain. With a normal electrocardiogram and a troponin T level of 2720 ng·L−1 (normal range 0-14 ng·L−1), he was subsequently diagnosed with a non-ST segment elevation myocardial infarction. Transthoracic echocardiography unexpectedly revealed a 1.3 × 1.7 cm mobile mass in the ascending aorta close to the left main coronary ostium.
Figure
A) Two-dimensional transesophageal echocardiographic (TEE) short-axis image of the aortic root shows a thrombotic mass (white arrow) close to the the left main coronary artery (red arrow) ostium. B) Three-dimensional TEE long-axis image similarly shows the mass (black arrow) in the ascending aorta. A video of the mobile mass is available as Electronic Supplementary Material. LA = left atrium; PA = pulmonary artery; RA = right atrium
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