title: Endovascular stent-graft repair of penetrating descending thoracic aortic ulcer.
abstract: This article presents a case in which covered stent-graft cuffs were used to treat a penetrating ulcer of the descending thoracic aorta. An 80-year-old woman presented with penetrating ulcer in the descending thoracic aorta. Two endovascular stent graft cuffs were used for total exclusion of the penetrating ulcer, because the patient had a high operative risk. Her postoperative course was uneventful, and follow-up computed tomographic angiography showed complete coverage of the ulcer without evidence of leak. This case demonstrates that endoluminal stent-graft repair of penetrating descending thoracic aortic ulcers is a safe, less-invasive treatment, especially for elderly, high-risk patients.
authors.affiliation: Department of Surgery, Walter Reed Army Medical Center, Washington, DC, USA. gaidinian@hotmail.com
authors.forename: Gilbert
authors.initials: G
authors.lastname: Aidinian
authors.forename: Paul S
authors.initials: PS
authors.lastname: Massimiano
authors.forename: Alan M
authors.initials: AM
authors.lastname: Speir
authors.forename: Dipankar
authors.initials: D
authors.lastname: Mukherjee
mesh_terms: D000369:Aged, 80 and over; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D001018:Aortic Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D005260:Female; D006801:Humans; D015607:Stents; D014057:Tomography, X-Ray Computed; D014456:Ulcer / Q000000981:diagnostic imaging / Q000601:surgery*