Porcelain aorta

Trigoso Castro, C.; Tamayo Velasco, Á.; Miramontes González, J.P.

doi:10.1016/j.rceng.2021.05.001

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A chest X-ray was performed prior to admission (<a class="elsevierStyleCrossRef" href="#fig0005">Image 1</a>A). A chest CT was performed upon admission due to a suspected tumour (<a class="elsevierStyleCrossRef" href="#fig0005">Image 1</a>B) and showed previously unreported extensive atherosclerotic calcification of the aorta (porcelain aorta).<elsevierMultimedia ident="fig0005"></elsevierMultimedia>Porcelain aorta is an entity described as generalised and circular calcification of the ascending aorta. Aortic calcification can be located within the inner layer of the tunica intima, can be eccentric and start in the base of necrotic fibrofatty plaques (atherosclerotic type), or can be located within the tunica media. The main pathophysiological mechanisms of the disease include the activation of paracrine osteogenic signals; mediastinal radiation that causes aortitis, which generates calcium salt deposits as a sequela of scarring of the intima or tunica media; and, lastly, chronic kidney disease that causes not only accelerated atherosclerosis, but also diffuse calcification of the tunica media of the large arteries (Mönckeberg’s sclerosis).The current case aims to show how a chest X-ray can diagnose porcelain aorta, with findings subsequently confirmed via more specific tests such as a chest CT to facilitate treatment." "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2019-09-23" "fechaAceptado" => "2019-10-01" "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "Please cite this article as: Trigoso Castro C, Tamayo Velasco Á, Miramontes González J.P. Aorta en porcelana. Rev Clin Esp. 2021;221:493–493." ] ] "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1219 "Ancho" => 2167 "Tamanyo" => 120276 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/22548874/0000022100000008/v2_202110011208/S2254887421000904/v2_202110011208/en/main.assets" "Apartado" => array:4 [ "identificador" => "71811" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Medicine in images" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/22548874/0000022100000008/v2_202110011208/S2254887421000904/v2_202110011208/en/main.pdf?idApp=WRCEE&text.app=https://revclinesp.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887421000904?idApp=WRCEE"]

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Vol. 221. Issue 8.

Pages 493 (October 2021)

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