Image 1
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Image 1
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This is a 29 year old man, known Marfan's syndrome, who suffered an acute, severe haematemesis. As this was being treated by transfusion he developed acute aortic regurgitation and went into cardiogenic shock. Plain chest film showed pulmonary oedema (right, Image 1) and a transthoracic echocardiogram confirmed severe aortic regurgitation.
Image 2
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Because of the haematemesis, transoesophageal echo was considered a risk, and there was no MR service available. Contrasted computed tomography was therefore performed (left, image 2). What do you think of it?