Role of imaging modalities in the choice of treatment strategy for mega aorta syndrome

Saushkin V.V.; Panfilov D.S.; Vrublevsky A.V.; Sazonova S.I.; Kozlov B.N.

doi:https://doi.org/10.17116/hirurgia202202167

Saushkin V.V.

Tomsk National Research Medical Center

Panfilov D.S.

Tomsk National Research Medical Center

Vrublevsky A.V.

Tomsk National Research Medical Center

Sazonova S.I.

Tomsk National Research Medical Center

Kozlov B.N.

Cardiology Research Institute of the Tomsk National Research Medical Center of the Russian Academy of Sciences

Role of imaging modalities in the choice of treatment strategy for mega aorta syndrome

Authors:

Saushkin V.V., Panfilov D.S., Vrublevsky A.V., Sazonova S.I., Kozlov B.N.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2022;(2): 67‑74

DOI: 10.17116/hirurgia202202167

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To cite this article:

Saushkin VV, Panfilov DS, Vrublevsky AV, Sazonova SI, Kozlov BN. Role of imaging modalities in the choice of treatment strategy for mega aorta syndrome. Pirogov Russian Journal of Surgery. 2022;(2):67‑74. (In Russ.)
https://doi.org/10.17116/hirurgia202202167

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

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Abstract:

The authors report a 76-year-old female with mega-aorta syndrome that was asymptomatic for a long time. The first symptoms appeared after ascending aorta enlargement up to 81 mm and compression of superior vena cava. The patient underwent frozen elephant trunk procedure. The authors demonstrate the possibilities of assessing the aortic strain by ECG-synchronized CT angiography and 2D transesophageal ultrasound with speckle tracking. Potential role of these methods in determining the type of aortic reconstruction is discussed.

Keywords:

mega aorta syndrome

circular strain

computed tomography

transesophageal echocardiography

thoracic aorta

thoracic aorta replacement

frozen elephant trunk

Authors:

Saushkin V.V.

Tomsk National Research Medical Center

Panfilov D.S.

Tomsk National Research Medical Center

Vrublevsky A.V.

Tomsk National Research Medical Center

Sazonova S.I.

Tomsk National Research Medical Center

Kozlov B.N.

Cardiology Research Institute of the Tomsk National Research Medical Center of the Russian Academy of Sciences

Received:

02.07.2021

Accepted:

21.09.2021

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References:

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