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Published on: August 15, 2025
Penetrating aortic atherosclerotic ulcer complicated by periesophageal hematoma
Guillermo Crespo1, Larry E Jacobs, Suraj Maraj
1Division of Cardiology, Department of Medicine, Albert Einstein Medical Center, Philadelphia, PA 19141, USA. crespog@einstein.edu
Abstract:
Penetrating aortic atherosclerotic ulcers have been recently recognized as an entity among the acute aortic syndromes with a potentially fatal outcome. We describe the case of a patient presenting with severe chest pain who died as a result of a thoracic-aorta penetrating atherosclerotic ulcer complicated by a intramural hematoma of the esophagus and stomach, leading to exsanguination. To our knowledge this is the first case reported in the literature of such a complication from penetrating aortic atherosclerotic ulcers.
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