Coexistence of Rheumatoid Arthritis, Systemic Lupus Erythematosus, Sjogren Syndrome, Antiphospholipid Syndrome, and Ankylosing Spondylitis

Figure 2

CT angiogram of the heart and great vessels. Large eccentric structure is noted in the root of the ascending aorta having fistulous communication. A hypodense area is noted within the structure. The structure is compressing the corresponding superior vena cava and left ventricular outlet or aortic root (7.5 mm), suggestive of large aneurysm at the aortic root containing the thrombus. Photo: courtesy of the patient.