Penetrating aortic atherosclerotic ulcer complicated by periesophageal hematoma.
Penetrating aortic atherosclerotic ulcers have been recently recognized as an entity among the acute aortic syndromes with a potentially fatal outcome. We describe the case of a patient presenting with severe chest pain who died as a result of a thoracic-aorta penetrating atherosclerotic ulcer complicated by a intramural hematoma of the esophagus and stomach, leading to exsanguination. To our knowledge this is the first case reported in the literature of such a complication from penetrating aortic atherosclerotic ulcers.
Crespo
Guillermo
G
Division of Cardiology, Department of Medicine, Albert Einstein Medical Center, Philadelphia, PA 19141, USA. crespog@einstein.edu
Jacobs
Larry E
LE
Maraj
Suraj
S
Garcia
Fermin
F
Zaeri
Nayere
N
Kotler
Morris N
MN
D000368:Aged; D001013:Aorta, Thoracic / Q000473:pathology; D001018:Aortic Diseases / Q000150:complications* / Q000000981:diagnostic imaging* / Q000473:pathology; D001161:Arteriosclerosis / Q000150:complications* / Q000000981:diagnostic imaging* / Q000473:pathology; D004935:Esophageal Diseases / Q000209:etiology*; D017809:Fatal Outcome; D005260:Female; D006406:Hematoma / Q000209:etiology*; D006801:Humans; D014456:Ulcer / Q000000981:diagnostic imaging*; D014463:Ultrasonography