Enunciado A 31-year-old male patient comes to the ER after being stabbed in the third intercostal space. He was awake, alert and oriented, hemodynamically stable and had a thoracic drain. After ruling out the commitment of any other structure, he was discharged. After 2 months, was again admitted to the ER complaining of acute dyspnea, abdominal distension and pitting edema in lower limbs (++/4+). At the exam, he had a diastolic murmur at the accessory aortic area, with irradiation to the armpit, and palpable right ventricle (RV). Chest X-ray and echocardiogram showed increased pulmonary flow and RV overload, and then was submitted to cardiac catheterisation. https://imagemdasemana.medicina.ufmg.br/wp-content/uploads/2023/06/caso170_1-1.mp4Question:Based on the clinical picture and the images, which one of the following is the most likely diagnosis? Acute aortic dissection Infective endocarditis and aortic valve lesion Aorta-right ventricle fistula and aortic lesion Ectatic aorta Time is Up! Time's up
