PENETRATING AORTIC ULCER: SURGICAL OR MEDICAL MANAGEMENT

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منابع مشابه

[Percutaneous management of penetrating aortic ulcer].

Penetrating aortic ulcer is a variant of classic aortic dissection having distinct histopathological characteristics. If not appropriately treated, it evolves to combined morbidity and mortality rates as high as those of classic dissection. This condition, therefore, warrants special attention with accurate diagnosis and treatment. Percutaneous management using endoprosthesis is the method of c...

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Penetrating Atherosclerotic Aortic Ulcer

A 79-year-old female presented to the emergency department complaining of two weeks of dyspnea on exertion and heart palpitations. A computed tomography (CT) pulmonary angiogram was obtained to rule out pulmonary embolism, which was negative. An incidental finding of a penetrating atherosclerotic ulcer (PAU) of the descending aorta was reported (Figure 1). A focused bedside ultrasound of this s...

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Penetrating Aortic Ulcer and Intramural Hematoma

A ortic intramural hematoma (IMH) is an acute aortic disease, defined by the presence of hemorrhage within the aortic wall, and no evidence of intimal tear. The penetrating aortic ulcer (PAU) is a chronic aortic condition, defined by an ulcer-like disruption of the intima maturing within the aortic lumen. IMH usually presents with a smooth intima and some degree of atherosclerosis, whereas PAU ...

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Hybrid treatment of penetrating aortic ulcer*

Penetrating atherosclerotic aortic ulcer is a rare entity with poor prognosis in the setting of acute aortic syndrome. In the literature, cases like the present one, located in the aortic arch, starting with chest pain and evolving with dysphonia, are even rarer. The present report emphasizes the role played by computed tomography in the diagnosis of penetrating atherosclerotic ulcer as well as...

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[Penetrating atherosclerotic ulcer of the aortic arch].

Acute aortic syndrome is an acute lesion of the aortic wall involving the aortic tunica media, with a potencial risk of severe complications. The aortic dissection is the main cause (80%), but other entities, such as the intramural hematoma (15%) and the penetrating aortic ulcer (5%), are a less frequent cause. A 49-year-old man, hypertensive, dyslipemic, and without drug treatment, was admitte...

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ژورنال

عنوان ژورنال: Chest

سال: 2019

ISSN: 0012-3692

DOI: 10.1016/j.chest.2019.08.364