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CC BY 4.0 · Aorta (Stamford) 2014; 02(02): 77-81
DOI: 10.12945/j.aorta.2014.13-060
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Medical and Surgical Management of a Descending Aorta Penetrating Atherosclerotic Ulcer and Associated Ascending Intramural Hematoma

Matthew C. Henn
1   Division of Cardiothoracic Surgery, Department of Surgery, Washington University School of Medicine, Barnes-Jewish Hospital, St. Louis, Missouri
,
Christopher P. Lawrance
1   Division of Cardiothoracic Surgery, Department of Surgery, Washington University School of Medicine, Barnes-Jewish Hospital, St. Louis, Missouri
,
Alan C. Braverman
2   Division of Cardiology, Department of Medicine, Washington University School of Medicine, Barnes-Jewish Hospital, St. Louis, Missouri
,
Luis Sanchez
3   Division of Vascular Surgery, Department of Surgery, Washington University School of Medicine, Barnes-Jewish Hospital, St. Louis, Missouri
,
Jennifer S. Lawton
1   Division of Cardiothoracic Surgery, Department of Surgery, Washington University School of Medicine, Barnes-Jewish Hospital, St. Louis, Missouri
› Author Affiliations
Further Information

Publication History

27 November 2013

12 March 2014

Publication Date:
24 September 2018 (online)

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Abstract

A 69-year-old man presented with chest pain and a computed tomography scan demonstrated an acute penetrating atherosclerotic ulcer (PAU) of the proximal descending aorta with an associated intramural hematoma (IMH) extending retrograde to the aortic root and distally to the renal arteries. He successfully underwent endovascular repair of the PAU and medical management of the associated ascending intramural hematoma with complete resolution at 6 months.

Key Words

Penetrating aortic ulcer - Ascending intramural hematoma - TEVAR
 

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