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2DTTE and 3DTEE underestimate LVOT area when compared to MDCT with significant impact on AVA estimation. Assessment through MDCT fusion AVA may be of incremental value in patients with discrepant severity criteria for AS.

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Pseudoaneurysm of the ascending aorta is a rare complication, usually after thoracic surgery or trauma.Since surgical repair is associated with very high morbidity and mortality, percutaneous closure has been described as an alternative.In this regard, we present a case in which a symptomatic large pseudoaneurysm of the ascending aorta was treated percutaneously due to the high surgical risk.Despite the technical difficulties, this procedure had a good final result followed by clinical success. © 2016 Sociedade Portuguesa de Cardiologia. Published by Elsevier España, S.L.U. All rights reserved. PALAVRAS-CHAVEAorta ascendente; Pseudoaneurisma; Encerramento percutâneo Encerramento percutâneo de um volumoso pseudoaneurisma da aorta ascendenteResumo O pseudoaneurisma da aorta ascendente consiste numa complicação rara, habitualmente na sequência de cirurgia cardiotorácica ou traumatismo.Dado que a reparação cirúrgica do mesmo se associa a uma elevada morbimortalidade, o encerramento percutâneo tem vindo a ser descrito como uma alternativa viável. * Corresponding author. E-mail address: marta.afonso.nogueira@gmail.com (M.A. Nogueira). 2174-2049Document downloaded from http://www.elsevier.pt, day 09/03/2016. This copy is for personal use. Any transmission of this document by any media or format is strictly prohibited. 119.e2 M.A. Nogueira et al.Neste contexto, apresentamos um caso caracterizado por um volumoso e sintomático pseudoaneurisma da aorta ascendente, o qual fora submetido a tratamento percutâneo, devido ao elevado risco cirúrgico.Apesar das dificuldades do ponto de vista técnico, este procedimento obteve um bom resultado final, com sucesso em termos clínicos.

Pericardial cysts are rare benign congenital malformations, usually small, asymptomatic and detected incidentally on chest X-ray as a mass located in the right costophrenic angle. Giant pericardial cysts are very uncommon and produce symptoms by compressing adjacent structures. In this report, the authors present a case of a symptomatic giant pericardial cyst incorrectly diagnosed as dextrocardia on chest X-ray. © 2012 Sociedade Portuguesa de Cardiologia Published by Elsevier España, S.L. All rights reserved. PALAVRAS-CHAVE Quisto pericárdico; Telerradiografia de tórax Quisto pericárdico gigante a imitar dextrocardia na telerradiografia de tóraxResumo Os quistos pericárdicos são malformações congênitas benignas raras. Habitualmente. são de pequena dimensão, assintomáticos e detectados de forma acidental na telerradiografia de tórax, como uma massa localizada no ângulo costofrênico direito. Grandes quistos pericárdi-cos são ainda mais raros e produzem sintomas por compressão de estruturas adjacentes. Neste artigo, os autores apresentam um caso clínico de um quisto pericárdico gigante e sintomático previamente diagnosticado como uma dextrocardia em telerradiografia de tórax. © 2012 Sociedade Portuguesa de Cardiologia. Publicado por Elsevier España, S.L. Todos os direitos reservados. Case reportA 30-year-old man reported dysphagia and weight loss (15 kg) during the previous four months. Palpitations and * Corresponding author.E-mail address: hamadmahmoud77@hotmail.com (H.M. Hamad).chest pain unrelated to physical or emotional stress began two months later. A routine annual visit to the occupational medicine clinic revealed normal physical examination and laboratory tests. The chest X-ray ( Figure 1A) suggested a diagnosis of dextrocardia that was not observed on previous annual chest X-rays, and the ECG ( Figure 1B) was normal. Outpatient echocardiography was also normal. The patient was referred to the cardiology department for further investigation.