Rupture of thoracic aorta caused by penetrating aortic ulcer.
نویسندگان
چکیده
We present the findings in a 57-year-old man with a rupture of the thoracic aorta that originated in a penetrating atherosclerotic aortic ulcer. It formed a large hematoma that clinically mimicked a true saccular thoracic aneurysm. The possibility of penetrating aortic ulcer should be considered in the differential diagnosis of aortic aneurysm.
منابع مشابه
Penetrating atherosclerotic ulcer of the thoracic aorta: diagnosis and treatment.
P enetrating atherosclerotic ulcer (PAU) of the thoracic aorta was first described by Shennan in 1934.1 PAU is part of acute aortic syndrome, so care must be taken concerning its diagnosis and treatment. Atherosclerotic plaques may ulcerate and erode through the internal elastic lamina into the aortic media, resulting in a PAU.2,3 Besides typical aortic dissection, the causes of acute aortic sy...
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Penetrating ulcer of the ascending aorta is a very rare pathological entity with known potential for progression towards intramural hematoma or dissection. Intraoperative diagnosis of an asymptomatic ulcer of the ascending aorta was carried in a 60-year-old male with rheumatic valve disease. The tubular portion of the aorta was slightly dilated (45 mm) and the aortic valve was tricuspid. A supr...
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We present the case of a hypertensive male who came with acute onset of severe backache and hypotension. Emergency imaging revealed a penetrating atherosclerotic ulcer of descending thoracic aorta with contained rupture and bilateral hemothorax. Initially stabilised with medical management, this patient went on to undergo endovascular stent-grafting. The sequence of clinical events of this unco...
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ورودعنوان ژورنال:
- Chest
دوره 106 2 شماره
صفحات -
تاریخ انتشار 1994