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Aortic Root Aneurysm causing Pulmonary Edema

Imaging findings

Chest radiograph and CT show a giant aneurysm of the aortic root and ascending aorta causing severe aortic valve regurgitation, presenting as cardiomegaly and severe hydrostatic pulmonary edema with interstitial septal lines.

Key takeaways

Severe acute or chronic aortic regurgitation from an aortic root aneurysm can cause left ventricular volume overload and left atrial hypertension, presenting as hydrostatic pulmonary edema. In patients with unexplained heart failure, the aortic root must be carefully evaluated.

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