Penetrating atherosclerotic ulcer of the descending thoracic aorta and arch
نویسندگان
چکیده
منابع مشابه
[Penetrating atherosclerotic ulcer of the descending aorta].
122 A sixty-one-year-old man with a history of arterial hypertension went to the emergency room secondary to intense interscapular pain, suggestive of dissection. Physical examination revealed diaphoresis, a systolic arterial pressure of 165 mm Hg, and symmetric peripheral pulses. Electrocardiogram (ECG) revealed a sinus rhythm with signs of left ventricular hypertrophy. Thoracic computerized t...
متن کاملPenetrating 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...
متن کاملConcomitant acute myocardial infarction and descending thoracic aorta penetrating ulcer
Acute coronary syndrome (ACS) refers to a spectrum of clinical presentations ranging from unstable angina to non-ST-segment elevation myocardial infarction (NSTEMI) to ST-segment elevation myocardial infarction (STEMI). Aortic dissection, intramural hematoma and penetrating atherosclerotic ulcer (PAU) are three major acute aortic syndromes (AAS). ACS and AAS are different disease entities with ...
متن کامل[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...
متن کاملRepair of aortoesophageal fistula due to a penetrating atherosclerotic ulcer of the descending thoracic aorta and literature review
Penetrating atherosclerotic ulcer rupturing into the esophagus is rare and the resulting aortoesophageal fistula carries a high mortality. In view of the emergency nature of the entity and complexity of the procedure management of such a condition is not standardized. The immediate concern is to save the patient from life threatening exsanguinations. Contrary to the practice hitherto followed n...
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ژورنال
عنوان ژورنال: The Journal of Thoracic and Cardiovascular Surgery
سال: 2004
ISSN: 0022-5223
DOI: 10.1016/j.jtcvs.2003.11.050