The Common Vein Copyright 2007
Aneurysmal disease is a circulatory disease that is characterized by the abnormal expansion of blood vessel walls to form an aneurysm.
The causes of aneurysmal disease include atherosclerosis (most commonly), aortic dissection, trauma, medial degeneration, and infection.
The primary result of aneurysmal disease is the formation of an aneurysm, which, in turn, may result in a pulsating feeling, abdominal and back pain, coughing, wheezing, Horner’s syndrome, hoarseness, and difficulty swallowing. Embolic disease results in rare cases.
Common diagnostic procedures for this disease include ultrasound, angiography, and CT and MRI scanning.
Aneurysmal disease is usually treated with surgery to resect the aneurysm(s).
|Large Anterior Communicating Artery Berry Aneurysm|
|The large rounded contrast filled structure overlaid in red in b, represents a berry aneurysm of the anterior coomunicating artery not on this angiogram of the left internal carotid artery.
16004c01 intracerebral artery anterior communicating artery berry aneurysm angiogram angiography Courtesy Ashley Davidoff MD
|Large Anterior Communicating Artery Berry Aneurysm|
|The large rounded contrast filled structure overlaid in red in b, represents a berry aneurysm of the anterior coomunicating artery noted on this CT and correlating with the angiogram above.
16006c01 intracerebral artery anterior communicating artery enhancing mass berry aneurysm CTscan Courtesy Ashley Davidoff MD 16004c01
|Normal Left Atrial Appendage and Aneurysm of LAA|
|70025d01 heart cardiac left atrium LA left atrial appendage fx enlarged fx aneurysmal dx aneurysm of the left atrial appendage CTscan Davidoff MD|
|49760c01.800 34 year old female presents with atrial flutter heart cardiac left atrium LAA left atrial appendage size enlarged dx aneurysm of the left atrial appendage partial absence of the pericardium MRI Davidoff MD|
|07973.800 heart cardiac right atrium aortic valve aortic sinus fx right atrial filling defect dx sinus of Valsalva aneurysm of the right aortic sinusprolapsing into the right atrium (RA defect) dx Marfan’s Syndrome MRI T1 weighted Davidoff MD 07973.800 07974c01 07974.800|
|This series of digital aortograms shows a rotund fusiform infrarenal aortic aneurysm (a, c – red overlay)) which later in the study shows premaure filling of the IVC (b, d blue overlay). This is an example of aneurysmal erosure of the the IVC and secondary formation of an arteriovenous fistula. Courtesy Laura Feldman MD 35858c03CP code CVS aorta IVC aneurysm AAA AV fistula|
|17529c01 artery descending thoracic aorta abdominal aorta dx rupture pseudoaneumysm ulcerating plaque mural hematoma ruptured through aortic wall hemorrhage hematoma retroperitoneum CTscan Courtesy Ashley DAvidoff MD Ashley Davidoff MD|
|11976c01 aorta abdomen abdominal aorta renal afrteries kidney fx normal AAA abdominal aortic aneurysm horseshoe kidney angogram angiography lumbar arteries Davidoff MD|
|42358.800 aorta fx enlarged MPA pulmonary artery aneurysm of the ascending aorta CTscan Davidoff MD|
|This pathological specimen shows an aortic dissection starting at the root of the aorta and extending across the arch and into the descending portion. The false lumen is filled with clotted blood. Courtesy Henri Cuenoid MD 13421 code CVS thorax AO aorta dissection grosspathology|
|This image shows a famous cardiologist, Dr Jonathan Fisher performing as Zippy the clown revealing and exaggerating the difficulty with surface tension and radius in the early stages of blowing up a balloon. Courtesy Ashley Davidoff MD. 60730b01 code lung physiology balloon surface tension surfactant alveolus alveoli radius principles|
|70027c01 aorta abdomen abdominal aortic aneurysm normal aorta TCV applied biology AAA USscan Davidoff MD|
|23263b back pain aorta artery abdominal aortic aneursym fusiform shape spine bone MRI T1 sagittal Courtesy James Donnelly MD|
|2055BH~1.c01 abdomen aorta abdominal aorta AAA aneurysm thrombus 7.5cms surgical size Courtesy Philips Medical Systems|
|37004 abdomen aorta kidneys cortical phase subcurtaneous fat adipose tissue normal anatomy gallsones cholelthiasis CT scan Davidoff MD
18269 aorta abdomen AAA aortic aneurysm abdominal aorta retroperitoneum fx retroperitoneal hematoma fx active hemorrhage fx perinephric hematoma anterior pararenal space perirenal space posterior pararenal space hemorrhage dx rupture abdominal aortic aneurysm CTscan Davidoff MD fx ruptured AAA
|72460c01 aorta AAA abdomen abdominal aortic aneurysm 12 cms aneurysm surgical exposure retractors surgical exposure control upper inflow with cross clamp control of outflow opening the aoric wall exposing the lumen filled with thrombus operating room treatment delivery of 12cmss thrombus and leaving eptyaortic sac Courtesy Syed Razvi MD|
Nervous System – Cerebral Circulation
|20258 brain artery fx mass calcified dx aneurysm CTscan Courtesy Ashley Davidoff MD Uploaded RP|
|49411 49409 hx 49 F with headaches artery brain cerebral circulation carotid artery internal carotid fx aneurysm arteriogram arteriography angiogram angiography Davidoff MD Courtesy Ram Chavalli MD 49400, 49401 49402, 49403, 49409, 49410, 49411,49416, 49417, 49418, 49419, 49420, 49421, 49422, 49424|
|72034c01 59 male presents with headache brain meninges tentorium circle of Willis ambient cisterns Berry aneurysm rupture subarachnoid blood subarachnoid hemorrhage headache CTscan Davidoff MD|
|71542c02 50 M s/p clipping of MCA aneurysm brain middle cerebral artery cerebrum fx clip artifact artifact from subcutaneous V-P shunt a= CTscan b = T2 weighted image c= FLAIR d = GRE fx metallic density GRE T2 star effect MRI Davidoff MD|
Coronary Artery Aneurym
|07587 heart cardiac aneursym coronary artery Kawasaki’s areteritis grosspathology Courtesy Ashley Davidoff MD|
|71480.800 UGI bleed artery stomach gastroepiploic artery GDA gastroduodenal artery aneurym angiogram angiography Davidoff MD 71482c01|
|71482c01 UGI bleed artery stomach gastroepiploic artery GDA gastroduodenal artery aneurym metallic coil embolization MIT angiogram angiography Davidoff MD 71480.800|
Splenic Artery Aneurym
|22521 22524 Courtesy Ashley Davidoff MD code spleen + artery + dx ruptured splenic artery aneurysm pseudoaneurysm + cystic fibrosis biliary cirrhosis portal hypertension angiography emergency|
Femoral Artery Aneurym
|60438.800 s/p catheterization with painful pulsatile hematoma with new bruit artery femoral artery fx yin yang sign aka ying yang turbulent flow dx pseudoameurysm false aneurysm USscan color flow doppler red blue Davidoff MD|
|60447c01 60438.800 s/p catheterization with painful pu;satile hematoma with new bruit artery femoral artery fx yin yang sign turbulent flow dx pseudoameurysm false aneurysm USscan color flow doppler red blue treated with thrombin injection Davidoff MD|
CT signs of pending Aortic aneurysm rupture web presentation from radiology assistant .nl 5*
Gonsalves crescent sign
Pillari letter to the editor