title: [Percutaneous management of penetrating aortic ulcer].
abstract: Penetrating aortic ulcer is a variant of classic aortic dissection having distinct histopathological characteristics. If not appropriately treated, it evolves to combined morbidity and mortality rates as high as those of classic dissection. This condition, therefore, warrants special attention with accurate diagnosis and treatment. Percutaneous management using endoprosthesis is the method of choice, since the patients are usually elderly and have comorbidities that would increase the complication rates of traditional surgery. A 78-year-old woman complaining of thoracic pain was admitted to the hospital; her pain had been radiating to the interscapular and left lumbar regions for four months. Upon diagnostic investigation, a penetrating aortic ulcer was found, and after being successfully treated percutaneously with stent implantation, the patient became asymptomatic and is under outpatient follow-up.
authors.affiliation: Faculdade de Medicina de São Jose do Rio Preto, Rua Mario Porto 42, 16400-677 Lins, SP. gustavocarvalho@cardiol.br
authors.forename: Gustavo
authors.initials: G
authors.lastname: Carvalho
authors.forename: Maurício de Nassau
authors.initials: MN
authors.lastname: Machado
authors.forename: Robson B de
authors.initials: RB
authors.lastname: Carvalho
authors.forename: Antônio Carvalho Leme
authors.initials: AC
authors.lastname: Neto
mesh_terms: D000368:Aged; D000784:Aortic Dissection / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006801:Humans; D015607:Stents; D014057:Tomography, X-Ray Computed; D014456:Ulcer / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*