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CC BY 4.0 · Aorta (Stamford) 2017; 05(06): 177-180
DOI: 10.12945/j.aorta.2017.17.040
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Single-stage Endovascular Treatment of a Penetrating Aortic Ulcer with a Concomitant “Isolated” Iliac Aneurysm

Haidi Hu
1   Department of Vascular and Thyroid Surgery, The First Affiliated Hospital, China Medical University, Shenyang 110001, China
2   Department of Surgery and Vascular Biology and Therapeutics Program, Yale University School of Medicine, New Haven, Connecticut, USA
,
Jianming Guo
2   Department of Surgery and Vascular Biology and Therapeutics Program, Yale University School of Medicine, New Haven, Connecticut, USA
,
Hualong Bai
2   Department of Surgery and Vascular Biology and Therapeutics Program, Yale University School of Medicine, New Haven, Connecticut, USA
,
Alan Dardik
2   Department of Surgery and Vascular Biology and Therapeutics Program, Yale University School of Medicine, New Haven, Connecticut, USA
› Author Affiliations
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Publication History

30 March 2017

15 April 2017

Publication Date:
24 September 2018 (online)

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Abstract

Penetrating aortic ulcer (PAU) is an acute aortic syndrome that can proceed to life-threatening aortic dissection or even aortic rupture. Isolated iliac aneurysms are relatively rare and often asymptomatic due to their deep pelvic location but are frequently associated with high mortality with rupture. We report a case of a 68-year-old man with a symptomatic penetrating ulcer in the descending aorta and an asymptomatic right iliac aneurysm involving the common and internal iliac arteries. The patient was successfully treated by endovascular repair in a single-stage manner using stent grafts in the descending aorta and right common iliac artery after coil embolization of the right internal iliac artery. Follow-up imaging showed complete resolution of the PAU and exclusion of the right iliac aneurysm without endoleak. Aggressive endovascular treatment for a symptomatic PAU with an asymptomatic isolated iliac aneurysm is feasible and allows complete treatment of vascular pathology at a single time.

Key Words

Penetrating aortic ulcer - Iliac aneurysm - Endovascular
 

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