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[Penetrating atheromatous ulcer of the thoracic aorta. Treatment options]

Csaba Dzsinich1, Miklós Vaszily1, Gábor Vallus1

  • 1MH Egészségügyi Központ Szív-, Ér- és Mellkas-Sebészeti Osztály Budapest Róbert Károly krt. 44. 1133.

Orvosi Hetilap
|March 18, 2014
PubMed

Insights

Penetrating atheromatous aortic ulcers are rare but dangerous. This study shows that open, hybrid, and endovascular treatments can effectively manage this condition when diagnosed early.

Area of Science:

  • Cardiovascular Surgery
  • Vascular Medicine
  • Aortic Diseases

Background:

  • Atherosclerosis can lead to rare but severe aortic complications.
  • Penetrating atheromatous aortic ulceration is a manifestation of atherosclerosis.
  • This condition can result in acute aortic syndrome, including dissection and rupture.

Purpose of the Study:

  • To analyze the authors' experience with penetrating atheromatous aortic ulceration.
  • To evaluate treatment outcomes for this rare aortic disease.

Main Methods:

  • Retrospective analysis of 18 patients with thoracic penetrating atheromatous aortic ulceration.
  • Patients presented with severe comorbidities.
  • Treatment strategies included open surgery, hybrid techniques, and endovascular repair (endografting).

Main Results:

  • A variety of treatment options were employed based on ulcer location.
  • One patient (1/18) experienced early mortality.
  • Two patients (2/18) had late endoleak complications successfully treated with open surgery.

Conclusions:

  • Penetrating atheromatous aortic ulceration requires timely diagnosis and management.
  • Open, hybrid, and endovascular approaches offer good outcomes for this condition.
  • Multidisciplinary treatment strategies are crucial for managing complex aortic pathologies.
Abstract

Keywords:
aortaarteriosclerosisperforationperforációulcerulcus

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