Year 2025 / Volume 117 / Number 8
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Giant thoracic aorta aneurysm below an endovascular stent - An unexpected finding during linear endoscopic ultrasound

455-456

DOI: 10.17235/reed.2023.10086/2023

Isabel Tarrio, Tarcísio Araújo, João Fernandes, Luís Lopes,

Abstract
A 50-year-old woman with a history of bicuspid aortic valve (BAV) and ascending aorta dissection was referred for endoscopic ultrasound (EUS) for suspected choledocholithiasis. Twelve years earlier she had undergone a Bentall-de Bone procedure and 7 years earlier a thoracic aorta aneurysm (TAA) was repaired with an endovascular prosthesis. EUS confirmed choledocholithiasis, however a large aneurysm (60 mm of diameter), was incidentally detected at the distal end of the aortic endoprosthesis. Computed tomography (CT) later confirmed the aneurysm, extending 4.5 cm above the renal arteries. The patient underwent a successful new endovascular repair. This rare incidental finding underscores the usefulness of a systematic approach when performing EUS, enabling the detection of significant abnormalities beyond the initial indication and allowing for early intervention in TTA patients.
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References
(1) Upchurch Jr GR, Escobar G A, Azizzadeh A, et al. Society for Vascular Surgery clinical practice guidelines of thoracic endovascular aortic repair for descending thoracic aortic aneurysms. Journal of vascular surgery 2021; 73(1): 55S-83S.
(2) Wang TKM, Desai, MY. Thoracic aortic aneurysm: Optimal surveillance and treatment. Cleveland Clinic journal of medicine 2020; 87.9: 557-568.
(3) Erbel R, Aboyans V, Boileau C, et al. 2014 ESC guidelines on the diagnosis and treatment of aortic diseases. Kardiologia Polska (Polish Heart Journal) 2014; 72.12: 1169-1252.
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Tarrio I, Araújo T, Fernandes J, Lopes L. Giant thoracic aorta aneurysm below an endovascular stent - An unexpected finding during linear endoscopic ultrasound. 10086/2023


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Publication history

Received: 11/11/2023

Accepted: 23/11/2023

Online First: 30/11/2023

Published: 24/07/2025

Article Online First time: 19 days

Article editing time: 621 days


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