Casciani Emanuele, Chatelou Eleni, Antonelli Glenda, Perrone Marco, Filippi Luca, De Angelis Cristina, Gualdi Gianfranco, Garaci Francesco
Diagnostic Imaging Unit, Department of Biomedicine and Prevention, University of Rome "Tor Vergata", Viale Oxford 81, Rome 00133, Italy.
Division of Cardiology and CardioLab, Department of Clinical Sciences and Translational Medicine, University of Rome Tor Vergata, Viale Oxford 81, Rome 00133, Italy.
Radiol Case Rep. 2025 Apr 8;20(6):3140-3143. doi: 10.1016/j.radcr.2025.03.022. eCollection 2025 Jun.
Vertebral osteophytes are the result of intervertebral disc degeneration and can occasionally damage the aorta located in their proximity. This paper describes the case of a 69-year-old woman with a pseudoaneurysm of the descending thoracic aorta caused by a progressively growing dorsal osteophyte. The patient was asymptomatic as the pseudoaneurysm was an incidental finding diagnosed with an F-FDG PET/CT and computed tomography angiography (CTA) performed during follow-up for breast cancer. The comparison between the latest F-FDG PET/CTA performed and previous exams was crucial for the diagnosis. In fact, the authors were able to demonstrate the progressive growth of the osteophyte and the subsequent development of the pseudoaneurysm. Both morphological features and metabolic behaviors supported the diagnosis. The pseudoaneurysm was successfully treated with thoracic endograft.
椎体骨赘是椎间盘退变的结果，偶尔会损伤其附近的主动脉。本文描述了一例69岁女性，其降主动脉假性动脉瘤由逐渐生长的胸椎骨赘引起。该患者无症状，因为假性动脉瘤是在乳腺癌随访期间通过F-FDG PET/CT和计算机断层血管造影（CTA）偶然发现的。最新的F-FDG PET/CTA检查与之前的检查结果对比对诊断至关重要。事实上，作者能够证明骨赘的逐渐生长以及随后假性动脉瘤的形成。形态学特征和代谢行为均支持该诊断。该假性动脉瘤通过胸主动脉腔内修复术成功治疗。
