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Image challenge
Young patient with ascending aortic mass
  1. Chendi Li1,
  2. Ke Wang2,
  3. Feifei Sun1
  1. 1 Department of Ultrasound, Shengjing Hospital of China Medical University, Shenyang, China
  2. 2 Department of Cardiac Surgery, Shengjing Hospital of China Medical University, Shenyang, China
  1. Correspondence to Professor Feifei Sun, Department of Ultrasound, Shengjing Hospital of China Medical University, Shenyang, China; sffecho0120{at}163.com

https://doi.org/10.1136/heartjnl-2022-322036

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    Clinical introduction

    A young patient complaining of chest tightness was admitted to our hospital. The ECG showed T-wave inversion at leads Ⅱ, Ⅲ and aVF (aVF is an augmented unipolar limb lead, “a” is augmented, “V” is voltage and “F” is left foot), and heart auscultation was normal. The coronary and thoracic aortic CT angiography indicated coronary artery stenosis and a filling defect (figure 1A, arrows) in the ascending aorta (AAO). Subsequently, transoesophageal echocardiography was performed, which showed a movable mass (figure 1B–D and online supplemental figure 1, arrows) with a size of 27 mm×7 mm attached to the anterior wall of the AAO. The local blood flow was unobstructed (online supplemental video 1).

    Supplemental material

    [heartjnl-2022-322036supp001.pdf]

    Supplementary video

    [heartjnl-2022-322036supp002.avi]
    Figure 1

    (A) Thoracic aortic CT angiography. (B) Two-dimensional and Colour Doppler transoesophageal echocardiography. (C) Traditional 3D-TEE. (D) TrueVue mode of the 3D-TEE and adding a virtual light source (the yellow sun icon represents the position of the light source, and its transparency represents its …

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    Footnotes

    • Contributors CL and FS were responsible for the concept of the manuscript and wrote the manuscript. FS and KW reviewed the manuscript. KW obtained informed written consent.

    • Funding This study was supported by grants from the Young Scientists Fund of the National Natural Science Foundation of China (81901763), Liaoning Province Medical-Industrial Crossover Joint Fund (2022-YGJC-55), Young and Middle-aged Scientific and Technological Innovation Talent Support Project of Shenyang City (RC210226), 345 Talent Project of Shengjing Hospital (M0282), Double First-class New Medical Technology Project of China Medical University (112/3111210415) and The Second Clinical College of China Medical University Educational Innovation (Open) Project (SJKF-2022YB04). The funding assisted in the collection of clinical data and publication fees.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; internally peer reviewed.

    • Supplemental material This content has been supplied by the author(s). It has not been vetted by BMJ Publishing Group Limited (BMJ) and may not have been peer-reviewed. Any opinions or recommendations discussed are solely those of the author(s) and are not endorsed by BMJ. BMJ disclaims all liability and responsibility arising from any reliance placed on the content. Where the content includes any translated material, BMJ does not warrant the accuracy and reliability of the translations (including but not limited to local regulations, clinical guidelines, terminology, drug names and drug dosages), and is not responsible for any error and/or omissions arising from translation and adaptation or otherwise.