Malaguti Mattia, Gerra Luigi, Fontanesi Leonardo, Barbieri Andrea, Boriani Giuseppe, Mantovani Francesca
Cardiology Division, Department of Biomedical, Metabolic and Neural Sciences, University of Modena, and Reggio Emilia, Policlinico di Modena, Modena, Italy.
Cardiology Division, S. Maria Bianca Hospital, Modena, Italy.
Front Cardiovasc Med. 2025 Aug 29;12:1660722. doi: 10.3389/fcvm.2025.1660722. eCollection 2025.
This case report describes a 76-year-old asymptomatic male with a highly mobile, elongated, and filamentous structure incidentally detected in the ascending aorta during routine echocardiographic evaluation. The nature of this mass was initially unclear, as its appearance and behavior did not fit the typical features of thrombi, atheroma, vegetations, or dissection. Given the high risk of systemic embolization, timely intervention was deemed necessary. Advanced multimodality imaging, particularly three-dimensional transesophageal echocardiography (3D-TEE), played a pivotal role in defining the lesion's characteristics. Surgical removal was performed, and histopathological analysis provided an unexpected final diagnosis. This case underscores the value of 3D-TEE in assessing rare aortic abnormalities that may not be fully characterized using conventional imaging techniques.
本病例报告描述了一名76岁无症状男性，在常规超声心动图评估期间，于升主动脉偶然发现一个活动度高、细长且呈丝状的结构。该肿块的性质最初并不明确，因为其外观和表现不符合血栓、动脉粥样硬化、赘生物或夹层的典型特征。鉴于全身栓塞的高风险，认为有必要及时进行干预。先进的多模态成像，尤其是三维经食管超声心动图（3D-TEE），在明确病变特征方面发挥了关键作用。进行了手术切除，组织病理学分析给出了意想不到的最终诊断。本病例强调了3D-TEE在评估罕见主动脉异常方面的价值，这些异常可能无法通过传统成像技术完全明确其特征。
