A GIANT PSEUDOANEURYSM DETECTION WITH 3D COMPUTED TOMOGRAPHY: SEEMS LIKE A SECOND VENTRICLE

Abstract

A 73-year-old woman was referred to our outpatient clinic with complaints of nausea and vomiting. Transthoracic echocardiography apical four-chamber view showed a mass (M) compressing the left atrium (LA) (Figure 1A). Full-volume threedimensional transthoracic echocardiography after cropping the left and right ventricle walls revealed a mass compressing LA (Figure 1B). Subcostal view of the stomach (STO) and esophagus (ESO) showed the reflux of stomach contents in realtime viewing (Figure 1C). Oblique sagittal (Figure 1D) and coronal (Figure 1E) CT angiography images revealed the hiatal hernia (HH) compressing LA. Oblique sagittal view of colored three dimensional volume rendered CT angiography images also demonstrated the relationship between HH and LA (Figures 1F,G).