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Crater-Like Ulceration of Aortic Arch
Caterina Simon1, Alice Calabrese2, Gianluca Canu3
1Department of Cardiac Surgery, Papa Giovanni XXIII Hospital, Bergamo, Italy;
Abstract:
We report the case of a 78-year-old female who presented to our hospital with signs of hemorrhagic shock and breathlessness. A transthoracic echocardiography demonstrated pericardial effusion. Computed tomography of the chest showed a penetrating atherosclerotic ulcer of the aortic arch with an intramural hematoma of the ascending and descending aorta. Endovascular repair with stent-grafting was urgently performed and a pericardial window placement was done to reduce mediastinal bleeding.
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