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Ruptured Penetrating Aortic Ulcer With Hemopericardium in a Young Adult: A Case Report
Rian R Patel1, Ayush A Kamdar1, Sudeep Aryal1
1Cardiovascular Disease, Novant Health Heart and Vascular Institute, Salisbury, USA.
Cureus
|June 25, 2026
Summary
Penetrating aortic ulcer (PAU) is a rare but lethal condition. Prompt diagnosis with CT angiography and rapid surgical repair are crucial for survival, even in young hypertensive patients.
Area of Science:
- Cardiovascular Medicine
- Vascular Surgery
- Diagnostic Imaging
Background:
- Penetrating aortic ulcer (PAU) is a life-threatening form of acute aortic syndrome (AAS).
- Ascending aortic PAU is rare, associated with high rupture risk, hemopericardium, and cardiac tamponade.
- Atherosclerosis is the common cause, typically in older individuals.
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