0:01

This was a case of one

0:03

of how Dietz's patients

0:05

who had Loeys-Dietz syndrome.

0:07

This patient had a known aortic aneurysm,

0:10

and part of the evaluation was in the neck.

0:15

So as we scroll from the location in the

0:19

chest and we go further superiorly,

0:23

you can see the aneurysm which

0:26

is projecting from the aorta.

0:29

The aorta has marked irregularity

0:31

and tortuosity in and of itself.

0:34

But now let's look at the takeoff of the

0:37

common carotid artery on the left side.

0:42

And as you can see,

0:43

there is involvement here with circumferential pseudo

0:49

aneurysm formation that is extending from the aorta into

0:53

the proximal portion of the left common carotid artery.

0:57

And this, as you can see,

0:58

extends from the apex of the left lung into the neck,

1:05

and then displaces the internal carotid artery in the

1:09

jugular vein anteriorly from the lung apex.

1:14

So, a very large aneurysm,

1:16

which was part of the Loeys-Dietz syndrome,

1:20

extending into the left carotid,

1:23

proximal carotid,

1:24

common carotid artery into the carotid sheath.

Loeys-Dietz Syndrome

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