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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: In the literature, cases like the present one, located in the aortic arch, starting with chest pain and evolving with dysphonia, are even rarer.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

Post-treatment CT. 3D reconstruction, volume-rendered image. The supra-aortictrunks are preserved by means of debranching with a bifurcated Dacron tube graft(Dacron prosthesis – DP) from the ascending aorta to the brachiocephalic arterialtrunk and left common carotid artery (LCCA), followed by endovascular (femoralapproach) placement of a prosthesis in the aortic arch, with satisfactoryevolution observed at threemonth follow-up. RSA, right subclavian artery; RCCA,right common carotid artery; RVA, right vertebral artery.
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f04: Post-treatment CT. 3D reconstruction, volume-rendered image. The supra-aortictrunks are preserved by means of debranching with a bifurcated Dacron tube graft(Dacron prosthesis – DP) from the ascending aorta to the brachiocephalic arterialtrunk and left common carotid artery (LCCA), followed by endovascular (femoralapproach) placement of a prosthesis in the aortic arch, with satisfactoryevolution observed at threemonth follow-up. RSA, right subclavian artery; RCCA,right common carotid artery; RVA, right vertebral artery.

Mentions: The patient presented with advanced chronic obstructive pulmonary disease and othercomorbidities which raised the surgical risk, and for this reason the hybridendovascular surgical technique was adopted(5) instead of complete aortic arch replacement (Figure 4).


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)

Post-treatment CT. 3D reconstruction, volume-rendered image. The supra-aortictrunks are preserved by means of debranching with a bifurcated Dacron tube graft(Dacron prosthesis – DP) from the ascending aorta to the brachiocephalic arterialtrunk and left common carotid artery (LCCA), followed by endovascular (femoralapproach) placement of a prosthesis in the aortic arch, with satisfactoryevolution observed at threemonth follow-up. RSA, right subclavian artery; RCCA,right common carotid artery; RVA, right vertebral artery.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

f04: Post-treatment CT. 3D reconstruction, volume-rendered image. The supra-aortictrunks are preserved by means of debranching with a bifurcated Dacron tube graft(Dacron prosthesis – DP) from the ascending aorta to the brachiocephalic arterialtrunk and left common carotid artery (LCCA), followed by endovascular (femoralapproach) placement of a prosthesis in the aortic arch, with satisfactoryevolution observed at threemonth follow-up. RSA, right subclavian artery; RCCA,right common carotid artery; RVA, right vertebral artery.
Mentions: The patient presented with advanced chronic obstructive pulmonary disease and othercomorbidities which raised the surgical risk, and for this reason the hybridendovascular surgical technique was adopted(5) instead of complete aortic arch replacement (Figure 4).

Bottom Line: In the literature, cases like the present one, located in the aortic arch, starting with chest pain and evolving with dysphonia, are even rarer.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