title: Penetrating aortic atherosclerotic ulcer complicated by periesophageal hematoma.
abstract: 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.
authors.affiliation: Division of Cardiology, Department of Medicine, Albert Einstein Medical Center, Philadelphia, PA 19141, USA. crespog@einstein.edu
authors.forename: Guillermo
authors.initials: G
authors.lastname: Crespo
authors.forename: Larry E
authors.initials: LE
authors.lastname: Jacobs
authors.forename: Suraj
authors.initials: S
authors.lastname: Maraj
authors.forename: Fermin
authors.initials: F
authors.lastname: Garcia
authors.forename: Nayere
authors.initials: N
authors.lastname: Zaeri
authors.forename: Morris N
authors.initials: MN
authors.lastname: Kotler
mesh_terms: 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