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so hereamp;#39;s an interesting case this is a patient who originally had a type A dissection and underwent ascending graft repair now if you look at these images which were required maybe a couple of years after the patientamp;#39;s initial surgery first of all if you look at the Double inversion recovery black blood sequence something doesnamp;#39;t look quite right adjacent to the ascending aorta right thereamp;#39;s something thatamp;#39;s possibly communicating with the aorta but thereamp;#39;s some low thereamp;#39;s some intermediate signal in there itamp;#39;s not completely be itamp;#39;s not itamp;#39;s not completely low signal like youamp;#39;d expect for the Lumen of the aorta but if you look at the postgadolinium images you see that what youamp;#39;re really identifying there is a pseudo aneurysm arising off the ascending aorta in this patient whoamp;#39;s had a prior graft this is actually not that uncommon we see a few of these every year and Iamp;#39;m gu
