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Hybrid treatment of penetrating aortic ulcer.

Lara JA, Martins-Romêo Dde A, Escudero CC, Vázquez RM, Falcón Mdel C, Batista VB - Radiol Bras (2015 May-Jun)

Bottom Line: Penetrating atherosclerotic aortic ulcer is a rare entity with poor prognosis in the setting of acute aortic syndrome.Additionally, the authors describe a new therapeutic approach represented by a hybrid endovascular surgical procedure for treatment of the disease.Abstract available from the publisher.

View Article: PubMed Central - PubMed

Affiliation: MDs, Radiologists at Unidade de Gestão Clínica (UGC) de Diagnóstico por Imagem - Hospital Universitario Virgen Macarena, Sevilha, Spain.

ABSTRACT
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 in the differentiation of this condition from other acute aortic syndromes. Additionally, the authors describe a new therapeutic approach represented by a hybrid endovascular surgical procedure for treatment of the disease.

No MeSH data available.


Related in: MedlinePlus

3D reconstruction, volume-rendered image. Digitform or collar button imagedeforming the expected contour of the aortic arc wall between the common carotidand left subclavian arteries, compatible with PAU.
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f01: 3D reconstruction, volume-rendered image. Digitform or collar button imagedeforming the expected contour of the aortic arc wall between the common carotidand left subclavian arteries, compatible with PAU.

Mentions: At contrast-enhanced images a focal alteration is identified in the aortic contour,corresponding to the ulcer that may be associated with mural hematoma and parietalenhancement due inflammation and hyperemia (Figures1 and 2). The presence of the hematomais useful to differentiate a PAU from a common or uncomplicated ulcer. However, one mustconsider the presence of clinical manifestation of pain due to the high incidence ofparietal irregularities in patients at advanced ages that may show a similarradiological appearance (Figure 3). In some caseslike the present one, symptoms resulting from the recurrent compression of the laryngealnerve by the hematoma may be observed. Such symptoms include dysphonia, dysphagia orsuperior vena cava syndrome.


Hybrid treatment of penetrating aortic ulcer.

Lara JA, Martins-Romêo Dde A, Escudero CC, Vázquez RM, Falcón Mdel C, Batista VB - Radiol Bras (2015 May-Jun)

3D reconstruction, volume-rendered image. Digitform or collar button imagedeforming the expected contour of the aortic arc wall between the common carotidand left subclavian arteries, compatible with PAU.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4492572&req=5

f01: 3D reconstruction, volume-rendered image. Digitform or collar button imagedeforming the expected contour of the aortic arc wall between the common carotidand left subclavian arteries, compatible with PAU.
Mentions: At contrast-enhanced images a focal alteration is identified in the aortic contour,corresponding to the ulcer that may be associated with mural hematoma and parietalenhancement due inflammation and hyperemia (Figures1 and 2). The presence of the hematomais useful to differentiate a PAU from a common or uncomplicated ulcer. However, one mustconsider the presence of clinical manifestation of pain due to the high incidence ofparietal irregularities in patients at advanced ages that may show a similarradiological appearance (Figure 3). In some caseslike the present one, symptoms resulting from the recurrent compression of the laryngealnerve by the hematoma may be observed. Such symptoms include dysphonia, dysphagia orsuperior vena cava syndrome.

Bottom Line: Penetrating atherosclerotic aortic ulcer is a rare entity with poor prognosis in the setting of acute aortic syndrome.Additionally, the authors describe a new therapeutic approach represented by a hybrid endovascular surgical procedure for treatment of the disease.Abstract available from the publisher.

View Article: PubMed Central - PubMed

Affiliation: MDs, Radiologists at Unidade de Gestão Clínica (UGC) de Diagnóstico por Imagem - Hospital Universitario Virgen Macarena, Sevilha, Spain.

ABSTRACT
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 in the differentiation of this condition from other acute aortic syndromes. Additionally, the authors describe a new therapeutic approach represented by a hybrid endovascular surgical procedure for treatment of the disease.

No MeSH data available.


Related in: MedlinePlus