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Radiol Bras. 2015 May-Jun;48(3):192-4. doi: 10.1590/0100-3984.2014.0029.

Hybrid treatment of penetrating aortic ulcer.

Radiologia brasileira

Juan Antonio Herrero Lara, Daniela de Araújo Martins-Romêo, Carlos Caparrós Escudero, Rosa María Lepe Vázquez, María Del Carmen Prieto Falcón, Vinicius Bianchi Batista

Affiliations

  1. MDs, Radiologists at Unidade de Gestão Clínica (UGC) de Diagnóstico por Imagem - Hospital Universitario Virgen Macarena, Sevilha, Spain.
  2. MD, Radiologist at Unit of Radiodiagnosis - Hospital Nuestra Señora de la Merced, Osuna, Sevilha, Spain.
  3. MDs, Residents, Unidade de Gestão Clínica (UGC) de Diagnóstico por Imagem - Hospital Universitario Virgen Macarena, Sevilha, Spain.

PMID: 26185346 PMCID: PMC4492572 DOI: 10.1590/0100-3984.2014.0029

Abstract

Penetrating atherosclerotic aortic ulcer is a rare entity with poor prognosis in the setting of acute aortic syndrome. In the literature, cases like the present one, located in the aortic arch, starting with chest pain and evolving with dysphonia, are even rarer. The present report emphasizes the role played by computed tomography in the diagnosis of penetrating atherosclerotic ulcer as well as in the differentiation of this condition from other acute aortic syndromes. Additionally, the authors describe a new therapeutic approach represented by a hybrid endovascular surgical procedure for treatment of the disease.

Keywords: Aortic diseases; Atherosclerosis; Cardiovascular surgery; Computed tomography; Thoracic aorta

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