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Quantitative Analysis and Characterization of Atherosclerotic Lesions in the Murine Aortic Sinus
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Published on: December 7, 2013

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Acute penetrating atherosclerotic ulcer of the ascending aorta

Manuel R Cervetti1, Mariano Camporrotondo1, Paz Ricapito1

  • 1Cardiac Surgery Department, Instituto Cardiovascular de Buenos Aires, Buenos Aires, Argentina.

Journal of Cardiac Surgery
|March 6, 2019
PubMed

Insights

A penetrating atherosclerotic ulcer (PAU) is a serious aortic condition. This case highlights successful surgical repair using a bovine pericardial patch for a calcified aortic root.

Area of Science:

  • Cardiovascular Surgery
  • Vascular Medicine
  • Diagnostic Imaging

Background:

  • Penetrating atherosclerotic ulcer (PAU) is a degenerative aortic disease.
  • PAU can present with chest pain, mimicking acute coronary syndromes.
  • Early diagnosis and intervention are crucial for managing PAU.

Observation:

  • A 67-year-old male presented with persistent chest pain and hypertension.
  • Diagnostic workup including ECG and cardiac enzymes ruled out acute coronary syndrome.
  • Aortography and CT scan revealed an irregular aortic wall and the characteristic shape of a penetrating ulcer.

Findings:

  • Intraoperative examination confirmed the diagnosis of penetrating atherosclerotic ulcer (PAU).
  • Surgical repair involved coronary artery bypass graft and bovine pericardial patch repair of the PAU.
  • The aortic root was heavily calcified, making the bovine pericardial patch a suitable and hemostatic choice.

Implications:

  • This case demonstrates the successful surgical management of a complex PAU.
  • Bovine pericardial patch repair is an effective option for PAU in the context of a calcified aortic root.
  • Accurate imaging and timely surgical intervention are vital for favorable outcomes in PAU patients.

Keywords:
acute aortic syndromeacute penetrating ulcerascending aortacardiac surgery

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