Shelton Charles C, Tyagi Samuel C, Sanampudi Sreeja, Issa Mohamed M, Raissi Driss, Lowry Conor M, Winkler Michael A
Department of Radiology, Gill Heart Institute, University of Kentucky Chandler Medical Center, Lexington, KY, USA.
Department of Surgery, Division of Vascular Surgery, University of Kentucky Vascular Medicine Clinic, Lexington, KY, USA.
Radiol Case Rep. 2019 Jul 15;14(9):1127-1131. doi: 10.1016/j.radcr.2019.06.031. eCollection 2019 Sep.
We present a patient with the initial misdiagnosis of a metallic foreign body in the abdominal aorta. Computed tomographic angiography utilizing microanatomical reconstruction technique revealed the structure to instead be a partially calcified abdominal aortic congenital fibrous band. Most congenital fibrous bands spanning the aortic lumen are proximal within the aorta and are thought to be supportive structures of the aortic valve leaflets. Congenital fibrous bands distal to the sinotubular junction are quite rare.
我们报告一名最初被误诊为腹主动脉金属异物的患者。利用微解剖重建技术的计算机断层血管造影显示该结构实际上是一条部分钙化的腹主动脉先天性纤维带。大多数横跨主动脉腔的先天性纤维带位于主动脉近端,被认为是主动脉瓣叶的支持结构。位于窦管交界远端的先天性纤维带非常罕见。