The ultrasound sensors showed a statistically similar precision for measuring cardiac output when compared to the results obtained using the periaortic
Postmortem examination showed metastatic carcinomatosis involving the lungs, and periaortic
It is likely that wall thickness and elastic properties are afected to a higher degree in patients with IMH than in those with AAD; therefore, putting the former at an increased risk for periaortic
hematoma, pericardial effusion, and aortic rupture (3, 8).
fibrosis is the most common cardiovascular lesion.
IgG4-related retroperitoneal fibrosis (IgG4-RRPF) is characterized by chronic inflammatory and infiltration of fibrotic tissue in the periaortic
or periiliac retroperitoneum that encases adjacent structures (56).
Less common sites included mural vegetations involving the right and left atrial walls in 3.0% of the patients, right ventricular outflow tract vegetations in 1 patient, isolated involvement of TV subvalvular apparatus in 1, a vegetation on the aortomitral curtain in 1 and a periaortic
root abscess as a complication in 2.
Local or Distant Metastasis (*) N2 = Distant regional node metastasis (Periaortic
, pericaval, SMA, celiac)
* Aorta and periaortic
CT revealed enlarged lymph nodes in cervical, mediastinal, bilateral axillary, periaortic
, and mesenteric regions and left-sided pleural effusion.
lymph node biopsy showed human herpes virus 8 (HHV8) associated Castleman's disease and marked vascular proliferation (Figure 1).
CT-guided aspiration biopsy of the retroperitoneal periaortic
lymph node (Figure 1) showed atypical lymphoid proliferation of small lymphocytes, which were polyclonal by flow cytometric analysis.
We diagnosed this patient as having an infected suprarenal aortic aneurysm, due to CTA findings showing saccular aneurysm and periaortic
inflammation in the visceral segment of the aorta, even though her hemoculture was negative.