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Related Experiment Video

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An Approach to Point-Of-Care Ultrasound Evaluation of the Abdominal Aorta
07:12

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Published on: September 8, 2023

Multiple aortic atherosclerosis penetrating an ulcer.

Nianfeng Sun1, Qingyi Meng, Ailing Tian

  • 1Department of Surgery, Affiliated Jinan Central Hospital of Shandong University, China. sunnianfeng@163.com

American Journal of Surgery
|July 12, 2011
PubMed
Summary

This case study details a patient with persistent chest and back pain diagnosed with a penetrating aortic ulcer and dissection. Surgical intervention with an intracavitary stent successfully resolved symptoms and showed positive outcomes during follow-up.

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Area of Science:

  • Cardiovascular Surgery
  • Diagnostic Imaging
  • Vascular Medicine

Background:

  • A penetrating aortic ulcer (PAU) is a serious condition characterized by ulceration of an atherosclerotic plaque extending into the aortic media.
  • Patients often present with severe chest or back pain, mimicking aortic dissection.

Observation:

  • CT angiography (CTA) revealed aortic protrusion, calcification, and suspected penetrating ulcer and blood tumors.
  • Digital subtraction angiography (DSA) confirmed a penetrating ulcer in the descending aorta, dissection, and anabrosis in the celiac axis.

Findings:

  • Surgical isolation using an intracavitary stent graft was performed to treat the complex aortic pathology.
  • The procedure successfully excluded the penetrating ulcer and dissection from the aorta.

Implications:

  • Endovascular repair with stent grafts offers a viable treatment option for complex aortic penetrating ulcers and dissections.
  • This approach can lead to symptom relief and positive outcomes in the mid-term follow-up.